Irene Liebensperger-Cavall

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

61176 Issued in NC

Practice address

208 North Broad Street
Columbia, NC 27925-9705

Phone

(252) 796-0689

Fax

(252) 796-0690

NPI assigned

Oct 4, 2006

Last updated

Mar 8, 2016By 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 1

Addresses

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

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tyrrell County Rural Health Association, Inc.Group PAC ID 7911960257, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Plymouth, NC, CCN 347008
• Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
• Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ireneleibensperger@cmcnc.allscriptsdirect.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Tyrrell County Rural Health Association, Inc.

  dba DBA - Columbia Medical Center

  • Rural Health Clinic/Center
  • Columbia, NC
  • NPI 1477583102

  Corporate Director

  CMS ownership

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.

• Tyrrell County Rural Health Association, Inc.

  dba DBA - Columbia Medical Center

  • Rural Health Clinic/Center
  • Columbia, NC
  • NPI 1477583102
  Medicare reassignment Care Compare group NPD

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

• Adoration Home Health Care Virginia, LLC

  • Home Health Agency
  • Plymouth, NC
  • NPI 1225867278
  Care Compare affiliation
• East Carolina Health - Chowan Inc

  dba ECU Health Chowan Hospital

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1477541183
  Care Compare affiliation
• Sentara Albemarle Regional Medical Center

  dba Sentara Albemarle Medical Center

  • General Acute Care Hospital
  • Elizabeth City, NC
  • NPI 1245211168
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1407942196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "COLUMBIA",
            "state": "NC",
            "postal_code": "279250189",
            "telephone_number": "252-796-0689",
            "fax_number": "252-796-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NORTH BROAD STREET",
            "city": "COLUMBIA",
            "state": "NC",
            "postal_code": "279259705",
            "telephone_number": "252-796-0689",
            "fax_number": "252-796-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBENSPERGER-CAVALL",
        "first_name": "IRENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "61176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Sawyer Gibbs, ADN RN, CPHN
• Erica Norris Glass
• Howard Darnell Glee Jr.
• Kisha Norman Professional Counseling Services PLLC
• Andrea Leigh, PCA
• Martin-Tyrrell-Washington District Health Department (Roanoke Home Care & Hospice)
• Hannah Elaine McGowan
• Monarch
• Kisha Danielle Norman, COUNSELOR
• Paragon Outpatient Rehabilitation Services, LLC (Synchrony Rehab)

• Family Medicine Physician in Columbia, NC
• Providers in Columbia, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.