Ivelisse Olivencia-Simmons, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5003363 Issued in NC

Practice address

2555 Court Dr Ste 200
Gastonia, NC 28054-2178

Phone

(704) 867-2141

Fax

(704) 867-2308

NPI assigned

Jun 26, 2007

Last updated

Jan 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC, IA, FL, VA, CT, KS, MA, VT, NJ, LA11 enrollments

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 11

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mission Health Community Multispecialty Providers LLCGroup PAC ID 9537468574, 601 clinicians

Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iolivenciasimmons684953@direct.novanthealth.org

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.

• Mission Health Community Multispecialty Providers, LLC

  • Anesthesiology Physician
  • Asheville, NC
  • NPI 1457719130
  Medicare reassignment Care Compare group NPD
• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment Care Compare group NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  CT, FL, IA, LA, MA, NJ, VA, VT

  Medicare reassignment Care Compare group
• Moses Cone Physician Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1093953127

  Nurse Practitioner

  Medicare reassignment NPD
• Ap US 14, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1902415904

  KS

  Medicare reassignment NPD
• Southeastern Hospitalist Services PC

  • Hospitalist Physician
  • Myrtle Beach, SC
  • NPI 1003280108

  Nurse Practitioner

  Medicare reassignment NPD
• Mission Community Anesthesiology Specialists LLC

  • Certified Respiratory Therapist
  • Asheville, NC
  • NPI 1528538766
  NPD
• Mission Health Community Multispecialty Providers, LLC

  • Internal Medicine Physician
  • Arden, NC
  • NPI 1366912586
  NPD
• Moses Cone Physician Services Inc

  dba Triad Hospitalists

  • Hospitalist Physician
  • Greensboro, NC
  • NPI 1326363383
  NPD
• Moses Cone Physician Services, Inc

  dba Triad Neurohospitalists

  • Neurology Physician
  • Greensboro, NC
  • NPI 1255609038
  NPD
• Novant Health Medical Group, LLC

  dba NHMG Neurology & Sleep Clinics

  • Neurology Physician
  • Winston Salem, NC
  • NPI 1912620030
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Northlake Dermatology

  • Dermatopathology Physician
  • Huntersville, NC
  • NPI 1396751640
  NPD (past)

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

• MH Mission Hospital, LLLP

  dba Mission Hospital

  • General Acute Care Hospital
  • Asheville, NC
  • NPI 1962987677
  Care Compare affiliation

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1295931251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COURT DR STE 200",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542178",
            "telephone_number": "704-867-2141",
            "fax_number": "704-867-2308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "919-966-4131",
            "fax_number": "919-843-6949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 LITCHFIELD ST",
            "address_purpose": "LOCATION",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "919-966-4131",
            "fax_number": "919-843-6949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-832-2820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Caromont Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "280120158",
            "country_code": "US",
            "telephone_number": "704-867-2141",
            "fax_number": "704-867-2308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Billingsley Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28211",
            "country_code": "US",
            "telephone_number": "704-316-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVENCIA-SIMMONS",
        "first_name": "IVELISSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "79066",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5003363",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5003363",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "218300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracee S Okoduwa, OT
• Cornelius S Okonkwo, DO
• Sunny Okoroji, MD,DDS,PA
• Danika Okpaleke, PA-C
• Olive Branch Ministry
• Anne Oliver, C.F.M.
• Kevin Paul Oliver, MA, MPA, LCAS
• Shania Shyvonne Oliver, LCMHC-A, LCAS-A
• Stephany Elizabeth Olsheski
• Robert Christopher Olson, DPM

• Nurse Practitioner in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.