Joy Ciaccio, FNP-C


Asheville, NC

NC Board of Nursing

Status: Active
Approval #: 201272
Initial Approval Date: 12/16/1999
Approved As: FNP – C


12/15/2014 – current: Bowen Primary and Urgent Care Supervising Physician: Samuel Timothy Bowen
Practice Address:
PO Box, Hickory, NC 28603
Practice Phone:
Broad background in the health care of adults for the past 40 years.  Experience includes 20 years as a registered nurse and 20 years as a nurse practitioner.  Skills include military nursing, home health nursing, geriatrics, private practice, and nursing education.

BOWEN PRIMARY AND URGENT CARE        HICKORY, NORTH CAROLINA               January 2015 to the present
Family Nurse Practitioner
With the collaboration of my supervising physicians, I practice as an adult primary care nurse practitioner in assisted living and family care home settings.  My patients are predominantly geriatric with respect to the age group seen.   I routinely perform history and physicals, order medications and diagnostic testing, refer to other in-home providers including home health nursing and physical therapy.  I also refer to specialists when necessary.  I determine the proper billing and diagnosis codes that supports my documentation.

TST, PA                    HENDERSONVILLE, NORTH CAROLINA                March 2003 to the present
Family Nurse Practitioner
With the collaboration of my supervising physicians, practiced as an acute care nurse practitioner working for a hospitalist group at a 150 bed community Hospital.  Made rounds, performed H&P’s, discharge summaries, ordered and interpreted diagnostic studies, evaluated effects of therapy.  Since leaving a full-time hospital-based environment, I have continued to work part-time for TST covering approximately 100 hours of outpatient phone calls per month.

GERIDOC, LLC                CHARLOTTE, NORTH CAROLINA                 January 2008 to January 2015
Family Nurse Practitioner
With the collaboration of my supervising physician, acted as the primary care provider for residents living in assisted living facilities, as well as other long-term care settings.  Performed history and physicals, ordered medications and diagnostic testing, referred to both specialist MDs and home health agencies.  Determined the proper billing and diagnosis codes that supported my documentation.  Created all necessary documentation and billing forms for the practice.

FAMILY MEDICAL CENTER            HENDERSONVILLE, NORTH CAROLINA            June 2008 to December 2014
Family Nurse Practitioner
With the collaboration of my supervising physician, provided for the primary care of geriatric patients in skilled nursing facilities.  Performed monthly rounds and made acute visits, ordering medications and diagnostic testing, interpreting the results, and evaluating the effects of therapy.  Made referrals, interacted with families and other Allied professionals, including hospice.

EVERCARE /UNITED HEALTH GROUP        ASHEVILLE, NORTH CAROLINA                     June 2006 to June 2008
Family Nurse Practitioner
Under the guidelines of the Evercare model, cared for group of enrollee’s at a skilled nursing facility in Asheville.  Gained experience in seeing primary care from an insurer’s perspective in this Medicare Advantage program.  Otherwise, functioned as a typical FNP in a geriatric environment.  Position included extensive family interaction and end-of-life planning.

Family Nurse Practitioner
With the collaboration of my supervising physician, worked in the specialty practice performing in office, as well as hospital consultations.  Became familiar with the neurological treatment of headache, epilepsy, CNS inflammatory conditions, such as temporal arteritis, Parkinson’s disease, Alzheimer’s dementia, multiple sclerosis, and stroke.
INTERIM HEALTHCARE            ASHEVILLE, NORTH CAROLINA                  August 2002 to March 2003
Registered Nurse
While searching for an appropriate NP position in the Asheville area, provided staff relief at a 150 bed acute care hospital, working in medical surgical settings, a telemetry unit, and an oncology unit.  Also worked vacation relief at the medical unit of a General Electric plant, doing occupational nursing.

Family Nurse Practitioner
Sole provider in his satellite office of the above practice.  Supervising physician available by phone.  Gained experience in the management of type 2 diabetes mellitus, hypertension, respiratory infections, COPD.  Performed punch biopsies, simple suturing, venipunctures, CLIA- waivered lab testing, wet mounts, performed and interpreted EKGs.  Managed minor emergencies prior to transport, including chest pain and hypertensive emergencies.  Referred to specialists as needed/indicated.  Hospital privileges attained at Wilkes Regional Medical Center where rounds were conducted.  Performed and dictated history/physicals and discharge summaries.

STEPHEN F.  AUSTIN STATE UNIVERSITY        NACOGDOCHES, TEXAS               September 1994 to May 1999
Nursing Instructor
Devised lectures, learning materials, and evaluation methods for 2 undergraduate nursing courses: Pathophysiology and Fundamentals of Nursing.  As a faculty member, her dissipated in various Division of Nursing committees: Head of the curriculum committee for 4 semesters, which included and NLN accreditation visit.  Supervised 10 students in the clinical area.

Education Coordinator
Team taught orientation classes to new employees of this large, multi office home health agency.  Provided CPR classes, information on proper documentation to maximize reimbursement.  Provided RN level continuing education classes on accessing implanted ports.

BREVARD COMMUNITY COLLEGE            COCOA, FLORIDA                         January 1992 to June 1993
Nursing Instructor
Team taught final medical surgical nursing course in this associate degree in nursing program.  Responsible for lecturing and evaluation methods.  Supervised up to 12 students in the clinical area.

MEDICAL PERSONNEL POOL            SAN ANTONIO, TEXAS                June 1986 to December 1989
Registered Nurse
During graduate school, worked as critical care staff relief.  For the same company, also worked in a community care for the aged and disabled program supervising nonskilled workers in the home who were assisting patients with activities of daily living.

HIGHLAND HOSPITAL/VA Medical Center        OAKLAND / SAN FRANCISCO,CA                    June 1985 to June 1986
Registered Nurse
Staff nurse in medical and cardiovascular intensive care.


US AIR FORCE                                        May 1980 to June 1989
Registered Nurse
Staff nurse in medical surgical settings at a variety of locations: Malmstrom Air Force Base, Montana, Clark AB, Philippines, and Travis AFB, California.  Prior to assignment in the Philippines, completed Advanced Trauma Life Support.  After completing active duty at these facilities, remained in the active reserves until 1989 and served with the 44th MES at Travis and the 11th Contingency Hospital at Wilford Hall USAF Medical Center, San Antonio.  Resigned my commission in 1995.

GEISINGER MEDICAL CENTER        DANVILLE, PENNSYLVANIA                 September 1978 to May 1980
Registered Nurse
Staff nurse on the medical surgical floor that was a combination of dermatology and cardiothoracic postsurgical patients.  Cared for inpatient dermatology patients including full body wraps with steroids for atopic dermatitis and coal tar therapy with UV irradiation for psoriasis.


2/98 – 7/99    Post Master’s Certificate, Family Nurse Practitioner – State University of New York at Stony Brook
8/86 – 6/89    Master’s of Science in Nursing – Univ  of Texas Health Science Center at San Antonio
8/76 – 6/78    Bachelor of Science in Nursing – Houston Baptist University, Houston, Texas

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