CAROL L METCALF
NPI 1053497800
Nurse Practitioner in Seattle, WA

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104(206) 731-3059 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carol L Metcalf NPPES

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

CAROL L METCALF (NPI 1053497800) is an individual nurse practitioner in Seattle, Washington, licensed in Washington (AP30006587) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Harborview Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1053497800
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROL L METCALF
Location AddressHARBORVIEW MEDICAL CENTER, 325 9TH AVESeattle, WA 98104
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 27, 2006
Last NPPES UpdateDecember 27, 2012
NPI 1053497800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WA · AP30006587
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

HARBORVIEW MEDICAL CENTER, Seattle, WA 98104

Other Identifiers 5

Other0178230WA · L&i
Medicare PINAB40328WA
Other312050Internal Id-motor Vehicle Id
Medicare UPINQ03833
Medicaid1053497800WA

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

Carol L Metcalf 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 ID3173418084
PECOS Enrollment IDI20040219000318
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services11 patients

Hospital Affiliations CMS Care Compare

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

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Orthopaedic Surgery (Orthopaedic Trauma)
HARBORVIEW MEDICAL CENTER, 325 9TH AVE
SEATTLE, WA 98104
Internal Medicine
HARBORVIEW MEDICAL CENTER, 325 9TH AVE
SEATTLE, WA 98104
Internal Medicine (Endocrinology, Diabetes & Metabolism)
HARBORVIEW MEDICAL CENTER, 325 9TH AVE
SEATTLE, WA 98104
Internal Medicine
HARBORVIEW MEDICAL CENTER, 325 9TH AVE
SEATTLE, WA 98104
Psychiatry & Neurology (Neurology)
HARBORVIEW MEDICAL CENTER, 325 9TH AVE
SEATTLE, WA 98104
Pathology (Cytopathology)
HARBORVIEW MEDICAL CENTER, 325 9TH AVE
SEATTLE, WA 98104
Psychiatry & Neurology (Psychiatry)
HARBORVIEW MEDICAL CENTER, 325 9TH AVE
SEATTLE, WA 98104
Anesthesiology
HARBORVIEW MEDICAL CENTER, 325 9TH AVE
SEATTLE, WA 98104

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 Carol Metcalf's NPI number?

The NPI number for Carol Metcalf is 1053497800. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Carol Metcalf located?

Carol Metcalf practices at Harborview Medical Center 325 9th Ave, Seattle, WA 98104. The listed phone number is (206) 731-3059.

What is Carol Metcalf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carol Metcalf enrolled in Medicare?

Yes. Carol Metcalf 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 Carol Metcalf accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Carol Metcalf 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 Carol Metcalf affiliated with any hospitals?

According to CMS data, Carol Metcalf is affiliated with Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for Carol Metcalf was last updated on December 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.