Active NPI
Ivelca Nintzel, CRNA
- Certified Registered Nurse Anesthetist
- Fayetteville, NC
National Provider Identifier
1285725416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 515690
- Practice address
- 1781 Metromedical Dr
Fayetteville, NC 28304-3862 - Phone
- (910) 323-1647
- NPI assigned
- Sep 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 515690 | NY | Primary |
Addresses
Primary practice location
1781 Metromedical Dr
Fayetteville, NC 28304-3862
Mailing address
7230 Mariners Landing Dr
Fayetteville, NC 28306-7478
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200607460A | Medicaid | KS | |
| 8052789 | Medicaid | NC | |
| P00397220 | Other | NC | RAILROAD-MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 515690 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apollomd Group Services, LLC | Past | Accepting new patients | |
| Anesthesia Consulting Services, PA | Past | Accepting new patients | |
| North Carolina Anesthesia Partners, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Sanford, NC
- NPI 1164694782
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1518070416
-
- Anesthesiology Physician
- Griffin, GA
- NPI 1568616860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1285725416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7230 MARINERS LANDING DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283067478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1781 METROMEDICAL DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043862",
"telephone_number": "910-323-1647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NINTZEL",
"first_name": "IVELCA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "515690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200607460A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052789",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD-MEDICARE",
"identifier": "P00397220",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.