Active NPI
Ella Davila-Hernandez
- Family Nurse Practitioner
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5007318
- Practice address
- 128 E Plaza Dr Ste 3
Mooresville, NC 28115-8000 - Phone
- (980) 444-2630
- Fax
- (980) 444-2631
- NPI assigned
- Nov 11, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5007318 | NC | Primary |
Addresses
Primary practice location
128 E Plaza Dr Ste 3
Mooresville, NC 28115-8000
Mailing address
PO Box 896199
Charlotte, NC 28289-4358
Phone (833) 963-1364
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Statesville, NC 28677
Phone (704) 838-2182
738 Bryant St
Statesville, NC 28677-4189
Phone (704) 873-2219
766 Hartness Rd
Suite B
Statesville, NC 28677-3479
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iredell Physician Network LLC | Current | Accepting new patients | |
| Iredell Physician Network LLC | Current | Accepting new patients | |
| Iredell Physician Network, LLC | Current | Accepting new patients | |
| Iredell Physician Network LLC | Family Medicine | Past | Accepting new patients |
Locations
128 E Plaza Dr
Ste 3
Mooresville, NC 28115
Phone (704) 378-8478
653 Bluefield Rd
Ste B
Mooresville, NC 28117
Phone (980) 444-2630
728 Hartness Rd
Statesville, NC 28677
Phone (704) 380-6420
766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182
774 Hartness Rd
Statesville, NC 28677
Phone (704) 768-3030
Interoperability endpoints
- elladavila-hernandez@imhi.allscriptsdirect.net
Organizations & group practices 4
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.
-
- General Practice Physician
- Statesville, NC
- NPI 1811381593
-
dba Iredell Ear, Nose and Throat
- Otolaryngology Physician
- Statesville, NC
- NPI 1447063920
-
dba Ruby Grimm, M.D.
- Hematology & Oncology Physician
- Statesville, NC
- NPI 1477805166
-
dba Bremnor Family Medicine
- Family Medicine Physician
- Mooresville, NC
- NPI 1780822288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1952707473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896199",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282894358",
"telephone_number": "833-963-1364",
"fax_number": "605-942-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E PLAZA DR STE 3",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281158000",
"telephone_number": "980-444-2630",
"fax_number": "980-444-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA-HERNANDEZ",
"first_name": "ELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-11",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5007318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.