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COURTNEY ADAIR SETZER FNP-C
NPI 1083336416
Nurse Practitioner - Family in Marion, NC

Active since September 13, 2022PECOS EnrolledAccepts Medicare Assignment
2293 SUGAR HILL RD, SUITE D, MARION, NC 28752(828) 652-8727(828) 652-8793 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2022, Sep 13, 2022 (2 updates tracked since 2022).

About Courtney Adair Setzer Fnp-c NPPES

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

COURTNEY ADAIR SETZER FNP-C (NPI 1083336416) is an individual family provider in Marion, North Carolina, licensed in North Carolina (5016942) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Blue Ridge Healthcare Hospitals, Inc, and maintains a secondary practice location in Nebo.

NPPES Registry Identity

NPI1083336416
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY ADAIR SETZERCredential: FNP-C
Location Address2293 SUGAR HILL RD, SUITE DMarion, NC 28752-7787
Mailing Address2293 Sugar Hill Rd Ste DMarion, NC 28752-7787 · (828) 652-8727 · Fax (828) 652-8793
Phone(828) 652-8727
Fax(828) 652-8793
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 13, 2022
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1083336416 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 · 5016942
2293 SUGAR HILL RD, Marion, NC 28752
Open in Google Maps ↗

Secondary Practice Location 1

Location 15920 US Highway 70 ENebo, NC 28761-9565 · Phone (828) 659-9703 · Fax (828) 659-9357

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Courtney Adair Setzer 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 ID6204203359
PECOS Enrollment IDI20221103000355
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 6

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.
162 services95 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
60 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 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.
16 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340087
Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28752 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.

Other Providers at the Same Location NPPES 3

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

EMERGEORTHO, P.A.
Durable Medical Equipment & Medical Supplies
2293 SUGAR HILL RD
MARION, NC 28752
McDowell County (828) 652-8727
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Internal Medicine
2293 SUGAR HILL RD, SUITE A
MARION, NC 28752
McDowell County (828) 580-1364
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Internal Medicine (Gastroenterology)
2293 SUGAR HILL RD, SUITE B
MARION, NC 28752
McDowell County (828) 559-2016

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 Courtney Setzer's NPI number?

The NPI number for Courtney Setzer is 1083336416. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Courtney Setzer located?

Courtney Setzer practices at 2293 Sugar Hill Rd Suite D, Marion, NC 28752. The listed phone number is (828) 652-8727.

What is Courtney Setzer's specialty?

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

Is Courtney Setzer enrolled in Medicare?

Yes. Courtney Setzer 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 Courtney Setzer accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Courtney Setzer 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 Courtney Setzer affiliated with any hospitals?

According to CMS data, Courtney Setzer is affiliated with Blue Ridge Healthcare Hospitals, Inc and The Mcdowell Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Setzer was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.