Individual provider Active NPI

Victoria Ioan Ingle, PA-C

  • Physician Assistant
  • Hickory, NC
National Provider Identifier
1972078335
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08131 Issued in NC
Practice address
304 10TH Ave NE
Hickory, NC 28601-3883
Phone
(828) 322-2183
Fax
(828) 485-2703
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-08131 NC
Physician Assistant 363A00000X 0010-08131 NC Primary

Addresses

Primary practice location

304 10TH Ave NE
Hickory, NC 28601-3883

Mailing address

256 10TH Ave NE Ste C
Hickory, NC 28601-3882
Phone (828) 322-2183

Other identifiers 1

IdentifierTypeStateIssuer
1972078335MedicaidNC

Other names 1

  • Victoria Nicole Ioan Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213000955 NC Practitioner - Physician Assistant 2567707912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Ear Nose and Throat-Sinus and Allergy Center PAGroup PAC ID 9830101476, 19 clinicians

Practice addresses (Care Compare)

149 W Parker Rd
Suite C
Morganton, NC 28655-4673
Phone 8283222183266

304 10TH Ave NE
Hickory, NC 28601-3883
Phone 8283222183266

Hospital & facility affiliations

  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Ear, Nose & Throat-Sinus and Allergy Center PA CurrentSince Aug 5, 2019 Accepting new patients

Locations

304 10th Ave NE
Hickory, NC 28601
Phone (828) 322-2183

256 10th Ave NE
Ste C
Hickory, NC 28601

1446 E Gaston St
#101
Lincolnton, NC 28092
Phone (704) 284-0554

149 W Parker Rd
Ste C
Morganton, NC 28655
Phone (828) 322-2183

Interoperability endpoints

  • Direct secure messaging: victoriaingle@centhnsc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1972078335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 10TH AVE NE STE C",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013882",
            "telephone_number": "828-322-2183",
            "fax_number": "828-485-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 10TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013883",
            "telephone_number": "828-322-2183",
            "fax_number": "828-485-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLE",
        "first_name": "VICTORIA",
        "middle_name": "IOAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-08131",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972078335",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "IOAN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.