Ivy Geralyn De Leon, PMHNP-BC, FNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5004501 Issued in NC

Practice address

378 Williamson Rd Ste 204
Mooresville, NC 28117-5917

Phone

(704) 978-8334

Fax

(980) 399-2600

NPI assigned

Aug 26, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ivy Advanced Practice Health, PLLCGroup PAC ID 3375989619, 2 clinicians

Optimed HospitalistsGroup PAC ID 8022204171, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ijohnson235050@direct.unc.nchie.net

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.

• Ivy Advanced Practice Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mooresville, NC
  • NPI 1689436859
  Medicare reassignment Care Compare group NPD Authorized official
• Optimed Hospitalists

  • Hospitalist Physician
  • Statesville, NC
  • NPI 1235449125
  Medicare reassignment Care Compare group NPD
• Appalachian Regional Behavioral Healthcare Inc

  • Psychiatry Physician
  • Linville, NC
  • NPI 1629642475
  Medicare reassignment NPD
• Charles a Cannon Jr Memorial Hospital Inc

  • Psychiatric Hospital Unit
  • Linville, NC
  • NPI 1407006968
  Medicare reassignment NPD
• Hospitalist Solution, PLLC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1457853079
  Medicare reassignment NPD
• Watauga Medical Center, Inc.

  • Psychiatry Physician
  • Boone, NC
  • NPI 1407921802
  Medicare reassignment NPD
• Appalachian Regional Behavioral Healthcare Inc

  • Psychiatric Hospital
  • Linville, NC
  • NPI 1558975219
  NPD
• Charles a. Cannon, Jr. Memorial Hospital, Inc

  • Psychiatry Physician
  • Linville, NC
  • NPI 1518906700
  NPD
• Optimed Hospitalists

  • Internal Medicine Physician
  • Davidson, NC
  • NPI 1477942613
  NPD
• Watauga Medical Center Inc

  • Land Ambulance
  • Boone, NC
  • NPI 1255120184
  NPD
• Wilkes Physician Network, Inc.

  • Family Medicine Physician
  • North Wilkesboro, NC
  • NPI 1245496413
  NPD
• Charles a. Cannon, Jr. Memorial Hospital, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Linville, NC
  • NPI 1215098132
  NPD (past)

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

• Iredell Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Statesville, NC
  • NPI 1417944224
  Care Compare affiliation

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1871726679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BILLINSGATE CT",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176702",
            "telephone_number": "704-880-1466",
            "fax_number": "704-880-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 WILLIAMSON RD STE 204",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175917",
            "telephone_number": "704-978-8334",
            "fax_number": "980-399-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 W Fleming Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553965",
            "country_code": "US",
            "telephone_number": "704-978-8334",
            "fax_number": "980-399-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Billinsgate Ct",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281176702",
            "country_code": "US",
            "telephone_number": "704-978-8334",
            "fax_number": "980-399-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "436 Hospital Dr",
            "address_2": "Suite 235",
            "address_purpose": "LOCATION",
            "city": "Linville",
            "state": "NC",
            "postal_code": "28646",
            "country_code": "US",
            "telephone_number": "828-737-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "IVY",
        "middle_name": "GERALYN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "182897",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004501",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "182897",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5004501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000658",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, INDIVIDUAL",
            "identifier": "2594567D",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather O'Neal Davis, FNP
• John Toliver Davis, DDS
• Melissa Lynn Davis, LCMHC
• Paul C Davis, D.C.
• Tara Day
• Laura Autumn De Leon
• Amy Caroline Deal, MS, CCC, SLP
• Kristine Marie Deboer, D.C.
• Deconstruct2Reconstruct
• Dedicated Home Services

• Psychiatric/Mental Health Nurse Practitioner in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.