Active NPI
Sylvia Wiesmann Ellis, NP-C
- Gerontology Nurse Practitioner
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5007881
- Practice address
- 90 Southside Ave
Suite 350
Asheville, NC 28801-4160 - Phone
- (828) 277-4810
- NPI assigned
- Jul 11, 2015
- Last updated
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5007881 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 5007881 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 5007881 | NC | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 5007881 | NC |
Addresses
Primary practice location
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Mailing address
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154705911 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone (336) 251-1114
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5007881 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Eldercare PA | Current | Accepting new patients | |
| Curana Health Medical Group LLC | Nurse Practitioner | Current | Accepting new patients |
| CH Specialty Services SC LLC | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of South Carolina PC | Current | Accepting new patients | |
| Curana Health of North Carolina PLLC | Current | Accepting new patients |
Locations
5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517
4505 Falls of Neuse Rd
Ste 650
Raleigh, NC 27609
Phone (919) 877-9959
401 N Morgan St
Shelby, NC 28150
Phone (704) 473-2843
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750
4000 Faber Place Dr
Ste 300
North Charleston, SC 29405
Phone (704) 956-3062
6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361
255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1275915522
-
- Internal Medicine Physician
- Austin, TX
- NPI 1255640678
NC, Nurse Practitioner
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Charlotte, NC
- NPI 1023377439
-
dba CenterWell Home Health
- Home Health Agency
- Kannapolis, NC
- NPI 1720010010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1154705911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 SOUTHSIDE AVE",
"address_2": "SUITE 350",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 SOUTHSIDE AVE",
"address_2": "SUITE 350",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014160",
"telephone_number": "828-277-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "SYLVIA",
"middle_name": "WIESMANN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-11",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5007881",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5007881",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5007881",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "5007881",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154705911",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.