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WINONA SUE HOUSER M.D.
NPI 1194130039
Family Medicine in Cherokee, NC

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL RD, CALLER BOX C-268, CHEROKEE, NC 28719(828) 497-9163(828) 497-1723 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 21, 2017 (2 updates tracked since 2017).

About Winona Sue Houser M.d. NPPES

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

WINONA SUE HOUSER M.D. (NPI 1194130039) is an individual family medicine provider in Cherokee, North Carolina, licensed in North Carolina (2016-00583) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Cherokee Indian Hospital Authority, and is a graduate of Pennsylvania State University College Of Medicine (2014).

NPPES Registry Identity

NPI1194130039
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameWINONA SUE HOUSERCredential: M.D.
Location Address1 HOSPITAL RD, CALLER BOX C-268Cherokee, NC 28719-9253
Mailing Address1 Hospital Rd, Caller Box C-268Cherokee, NC 28719-9253 · (828) 497-9163 · Fax (828) 497-1723
Phone(828) 497-9163
Fax(828) 497-1723
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2014
Enumeration DateJune 30, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1194130039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2016-00583
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 200759 (NC)
1 HOSPITAL RD, Cherokee, NC 28719
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

Winona Sue Houser M.d. 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 ID4284852484
PECOS Enrollment IDI20170804000103
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 Winona Houser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Indian Hospital Authority
Same address
Ambulatory Surgical
1 HOSPITAL ROAD, CALLER BOX C-268
Cherokee, NC 28719
  • Reassigned Medicare billing, Texas enrollment
  • 161 clinicians in this Medicare group
NPI 1396119616 (828) 497-9163

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 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.
107 services59 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
89 services59 patients
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.
48 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services21 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.
21 services21 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Cherokee Indian Hospital Authority

Acute Care Hospitals · Cherokee, NC
OwnershipGovernment - Federal
CMS Certification Number340156
LocationCaller Box C268Cherokee, NC 28719 · Swain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28719 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 3

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$8.38 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$42.07 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 suppliers18 claims18 services$180.16 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.

ASHLEY KEEL
Peer Specialist
1 HOSPITAL RD, CALLER BOX C-268
CHEROKEE, NC 28719
Swain County (828) 497-9163
JUSTICE LEE LITTLEJOHN PSS
Peer Specialist
1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163
KYLEE SAVAGE
Physician Assistant
1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163
MRS. KELLIE LEIGH BROWN MSW, LCSW-A
Social Worker (Clinical)
1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163
AMANDA HARRIS LEDFORD
Physical Therapy Assistant
1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163
EMILY R MEEKS RD
Dietitian, Registered
1 HOSPITAL RD, 1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163
ELIZABETH COLEMAN MCDONALD FNP-C
Nurse Practitioner (Family)
1 HOSPITAL RD, CALLER BOX C-268
CHEROKEE, NC 28719
Swain County (828) 497-9163
SHELBY CANNON HEATH M.S., CCC-SLP
Speech-Language Pathologist
1 HOSPITAL RD
CHEROKEE, NC 28719
Swain County (828) 497-9163

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 Winona Houser's NPI number?

The NPI number for Winona Houser is 1194130039. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Winona Houser located?

Winona Houser practices at 1 Hospital Rd Caller Box C-268, Cherokee, NC 28719. The listed phone number is (828) 497-9163.

What is Winona Houser's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Winona Houser enrolled in Medicare?

Yes. Winona Houser 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 organization bills Medicare for Winona Houser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Winona Houser reassigns Medicare benefits to Cherokee Indian Hospital Authority (Cherokee, 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 Winona Houser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Winona Houser accept?

Health plans from AmeriHealth Caritas Next list Winona Houser 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 Winona Houser affiliated with any hospitals?

According to CMS data, Winona Houser is affiliated with Cherokee Indian Hospital Authority.

When was this NPI record last updated?

The NPPES record for Winona Houser was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.