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MS. CAROLE JANE WORTHINGTON NP-C
NPI 1184043721
Nurse Practitioner - Adult Health in Durham, NC

Active since April 10, 2014PECOS Enrolled
5407 SKYLANE DRIVE, GERIATRIC NEUROPSYCHIATRY SERVICES, PLLC, DURHAM, NC 27704(919) 682-0323(919) 687-7649 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Carole Jane Worthington Np-c NPPES

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

MS. CAROLE JANE WORTHINGTON NP-C (NPI 1184043721) is an individual adult health provider in Durham, North Carolina, licensed in North Carolina (5006836) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184043721
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. CAROLE JANE WORTHINGTONCredential: NP-C
Location Address5407 SKYLANE DRIVE, GERIATRIC NEUROPSYCHIATRY SERVICES, PLLCDurham, NC 27704-3953
Mailing AddressP. O. Box 61447, Geriatric Neuropsychiatry Services, PllcDurham, NC 27715-1447 · (919) 682-0323 · Fax (919) 687-7649
Phone(919) 682-0323
Fax(919) 687-7649
Sole ProprietorNo
Enumeration DateApril 10, 2014
Last NPPES UpdateMarch 20, 2018
✔ NPI 1184043721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5006836
Also ListedRegistered NurseTaxonomy 163W00000X · License 196026 (NC)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5006836 (NC)
5407 SKYLANE DRIVE, Durham, NC 27704
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Carole Jane Worthington Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Carole Worthington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Opportunities Industrialization Center, Inc.
52 mi
Federally Qualified Health Center (FQHC)
90 GUARDIAN CT
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 45 clinicians in this Medicare group
NPI 1396103305 (252) 212-3350

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 9

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
939 services170 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
311 services135 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
174 services98 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
142 services141 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
50 services47 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
45 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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.

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 Carole Worthington's NPI number?

The NPI number for Carole Worthington is 1184043721. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Carole Worthington located?

Carole Worthington practices at 5407 Skylane Drive Geriatric Neuropsychiatry Services, PLLC, Durham, NC 27704. The listed phone number is (919) 682-0323.

What is Carole Worthington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carole Worthington enrolled in Medicare?

Yes. Carole Worthington is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carole Worthington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carole Worthington reassigns Medicare benefits to Opportunities Industrialization Center, Inc. (Rocky Mount, NC). The 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 Carole Worthington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carole Worthington accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Carole Worthington 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.

When was this NPI record last updated?

The NPPES record for Carole Worthington was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.