APRIL NICOLE CLAUNCH FNP-C
NPI 1043702673
Nurse Practitioner - Family in Morganton, NC

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment
103 MEDICAL HEIGHTS DR, MORGANTON, NC 28655(828) 437-4211(828) 437-0629 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Feb 25, 2022, Aug 17, 2019 (3 updates tracked since 2019).

About April Nicole Claunch Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APRIL NICOLE CLAUNCH FNP-C (NPI 1043702673) is an individual family provider in Morganton, North Carolina, licensed in North Carolina (5017699) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Blue Ridge Healthcare Hospitals, Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043702673
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAPRIL NICOLE CLAUNCHCredential: FNP-C
Location Address103 MEDICAL HEIGHTS DRMorganton, NC 28655-5197
Mailing Address103 Medical Heights DrMorganton, NC 28655-5197 · (828) 437-4211 · Fax (828) 437-0629
Fax(828) 437-0629
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 30, 2018
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
NPI 1043702673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5017699
103 MEDICAL HEIGHTS DR, Morganton, NC 28655

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

April Nicole Claunch Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345598215
PECOS Enrollment IDI20230425001161
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services39 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services24 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
26 services25 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
20 services19 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340075
Location2201 S Sterling StMorganton, NC 28655 · Burke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers30 claims50 services$6.33 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers16 claims16 services$172.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
103 MEDICAL HEIGHTS DR
MORGANTON, NC 28655
Family Medicine
103 MEDICAL HEIGHTS DR
MORGANTON, NC 28655
Family Medicine
103 MEDICAL HEIGHTS DR
MORGANTON, NC 28655
Family Medicine
103 MEDICAL HEIGHTS DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
103 MEDICAL HEIGHTS DR
MORGANTON, NC 28655
Physician Assistant
103 MEDICAL HEIGHTS DR
MORGANTON, NC 28655
Family Medicine
103 MEDICAL HEIGHTS DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
103 MEDICAL HEIGHTS DR
MORGANTON, NC 28655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is April Claunch's NPI number?

The NPI number for April Claunch is 1043702673. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is April Claunch located?

April Claunch practices at 103 Medical Heights Dr, Morganton, NC 28655. The listed phone number is (828) 437-4211.

What is April Claunch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is April Claunch enrolled in Medicare?

Yes. April Claunch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does April Claunch accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list April Claunch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is April Claunch affiliated with any hospitals?

According to CMS data, April Claunch is affiliated with Blue Ridge Healthcare Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for April Claunch was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.