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MICHAEL D HINSON FNP-BC
NPI 1093260184
Nurse Practitioner in Locust, NC

Active since August 18, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
316 WENDOVER DR, LOCUST, NC 28097(704) 791-2097 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2021, Aug 18, 2016 (2 updates tracked since 2016).

About Michael D Hinson Fnp-bc NPPES

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

MICHAEL D HINSON FNP-BC (NPI 1093260184) is an individual nurse practitioner in Locust, North Carolina, licensed in West Virginia (APRN94911-FNP-BC) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Jefferson Medical Center, and maintains a secondary practice location in Ranson.

NPPES Registry Identity

NPI1093260184
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICHAEL D HINSONCredential: FNP-BC
Location Address316 WENDOVER DRLocust, NC 28097-8400
Mailing Address316 Wendover DrLocust, NC 28097-8400 · (704) 791-2097
Phone(704) 791-2097
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 18, 2016
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1093260184 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 WV · APRN94911-FNP-BC
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.
316 WENDOVER DR, Locust, NC 28097
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Secondary Practice Location 1

Location 1300 S Preston StRanson, WV 25438-1631 · Phone (406) 862-3002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael D Hinson Fnp-bc 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 ID9638457302
PECOS Enrollment IDI20161031002484
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Michael Hinson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Carolina Emergency Physicians, PLLC
14 mi
Emergency Medicine
301 YADKIN ST
Albemarle, NC 28001
  • Reassigned Medicare billing, North Carolina enrollment
  • 144 clinicians in this Medicare group
NPI 1134391758 (704) 984-4000
The Carolinas Emergency Group, PLLC
101 mi
Emergency Medicine
800 TILGHMAN DR
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 373 clinicians in this Medicare group
NPI 1477508836 (910) 892-7161
Beckley Emergency Physicians LLC
178 mi
Emergency Medicine
306 STANAFORD RD, EMERGENCY ROOM
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 80 clinicians in this Medicare group
NPI 1376757674 (304) 255-3000
West Virginia Health Care Cooperative Inc
208 mi
Hospitalist
400 FAIRVIEW HEIGHTS RD
Summersville, WV 26651
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1043778319 (West Virginia)
  • 120 clinicians in this Medicare group
NPI 1417415324 (304) 872-8402
Jefferson Memorial Hospital
310 mi
Internal Medicine
300 S PRESTON ST
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • 110 clinicians in this Medicare group
NPI 1316364953 (304) 728-1669

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28097 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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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 Michael Hinson's NPI number?

The NPI number for Michael Hinson is 1093260184. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Where is Michael Hinson located?

Michael Hinson practices at 316 Wendover Dr, Locust, NC 28097. The listed phone number is (704) 791-2097.

What is Michael Hinson's specialty?

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

Is Michael Hinson enrolled in Medicare?

Yes. Michael Hinson 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.

Which organizations bill Medicare for Michael Hinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hinson reassigns Medicare benefits to 5 organizations: Western Carolina Emergency Physicians, PLLC (Albemarle, NC), The Carolinas Emergency Group, PLLC (Dunn, NC), Beckley Emergency Physicians LLC (Beckley, WV), West Virginia Health Care Cooperative Inc (Summersville, WV) and Jefferson Memorial Hospital (Ranson, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Hinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Hinson accept?

Health plans from CareSource list Michael Hinson 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 Michael Hinson affiliated with any hospitals?

According to CMS data, Michael Hinson is affiliated with Jefferson Medical Center and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Hinson was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.