Ivy Marie Bagley, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5003886 Issued in NC

Practice address

1704 E Arlington Blvd Ste B
Greenville, NC 27858-7828

Phone

(252) 756-4899

Fax

(252) 756-5141

NPI assigned

Jun 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eastern Psychiatric and Behavioral Specialists PLLCGroup PAC ID 1759278336, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivy.bagley.1@32595.direct.athenahealth.com

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.

• Eastern Psychiatric & Behavioral Specialists, PLLC

  • Medical Specialty Clinic/Center
  • Greenville, NC
  • NPI 1558426007
  Medicare reassignment Care Compare group NPD
• Blessed and Healthy Families PLLC

  • Nurse Practitioner
  • Greenville, NC
  • NPI 1598572943
  NPD

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1962664334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BRYSON DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347811",
            "telephone_number": "252-916-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 E ARLINGTON BLVD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278587828",
            "telephone_number": "252-756-4899",
            "fax_number": "252-756-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2317 Executive Cir Ste A",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278343762",
            "country_code": "US",
            "telephone_number": "252-756-4899",
            "fax_number": "252-756-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2320 Maurice Brown Rd",
            "address_purpose": "LOCATION",
            "city": "Jamesville",
            "state": "NC",
            "postal_code": "278469689",
            "country_code": "US",
            "telephone_number": "252-916-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "IVY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5003886",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5003886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Christopher Baechle, PHARM D
• Jason Daniel Baer, LCAS
• Tyler Baez
• Chandler Elizabeth Baggett, MA
• Heather Cotton Bagley, CRNA
• Perry Brad Bagley, MS, QP, LMFT
• Rebecca Bagley, CNM
• Elizabeth Ruth Bagsby, M.D.
• Jingyi Bai
• Bailey Collective Wellness PLLC

• Nurse Practitioner in Greenville, NC
• Providers in Greenville, 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 Feb 12, 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.