Reagan L Ivey, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

900401 Issued in NC

Practice address

215 Kinlaw Rd
Fayetteville, NC 28311-1431

Phone

(919) 588-1998

Fax

(888) 987-4108

NPI assigned

Aug 22, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reagan L Bell Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Duke University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellcare Services PLLCGroup PAC ID 7012159429, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medi Home Hospice Hospice, Saint Pauls, NC, CCN 341600
• 3HC Hospice, Fayetteville, NC, CCN 341602

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellcare Services, PLLC

  • Nurse Practitioner
  • Fayetteville, NC
  • NPI 1740627835
  Medicare reassignment Care Compare group
• Extended Care Physicians - Coastal, PA

  • Geriatric Medicine (Family Medicine) Physician
  • Wilmington, NC
  • NPI 1114191525
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Home Health and Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Fayetteville, NC
  • NPI 1215497722
  Care Compare affiliation
• Msa Home Health and Hospice of NC Inc

  dba Medi Home Hospice

  • Community Based Hospice Care Agency
  • Saint Pauls, NC
  • NPI 1831634179
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164414538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 KINLAW RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111431",
            "telephone_number": "919-588-1998",
            "fax_number": "888-987-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KINLAW RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111431",
            "telephone_number": "919-588-1998",
            "fax_number": "888-987-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "REAGAN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-03-07",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "900401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCB791C615",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REAGAN",
            "last_name": "BELL",
            "middle_name": "L",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Primary Care Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.