Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivelisse Olivencia-Simmons, NP

Individual provider Nurse Practitioner · NPI 1295931251

Ivelisse Olivencia-Simmons, NP is a Nurse Practitioner in Gastonia, North Carolina. Qualified in 2007, 19 years ago. Practices with Mission Health Community Multispecialty Providers LLC, a 598-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut, Idaho and North Carolina.

Years since qualifying
19
Licensed in
CT, ID, NC
In the registry since
2007
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2555 Court Dr Ste 200
Gastonia, NC 28054-2178
Phone: (704) 867-2141
Fax: (704) 867-2308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 540 Litchfield St, Torrington, CT 06790-6679 — (972) 449-0540
  • 2000 Caromont Pkwy Ste 200, Belmont, NC 28012-0158 — (704) 867-2141
  • 101 Manning Dr, Chapel Hill, NC 27599-0001 — (919) 966-4131
  • 101 Manning Dr, Chapel Hill, NC 27599-0001 — (919) 966-4131
  • 330 Billingsley Rd Ste 202, Charlotte, NC 28211 — (704) 316-3070
  • 1200 N Elm St, Greensboro, NC 27401-1004 — (336) 832-2820

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5003363 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 79066 (ID)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 5003363 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 218300 (CT)

Record details

NPI number1295931251
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 26, 2007
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mission Health Community Multispecialty Providers Llc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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