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KATHERINE ASHLEY WOONTON FNP-C
NPI 1215534334
Family Medicine in Dartmouth, MA

Active since October 01, 2020PECOS EnrolledAccepts Medicare Assignment
237A STATE RD, DARTMOUTH, MA 02747(508) 979-1100 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2021, Oct 1, 2020 (2 updates tracked since 2020).

About Katherine Ashley Woonton Fnp-c NPPES

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

KATHERINE ASHLEY WOONTON FNP-C (NPI 1215534334) is an individual family medicine provider in Dartmouth, Massachusetts, licensed in Massachusetts (RN2337737) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215534334
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHERINE ASHLEY WOONTONCredential: FNP-C
Location Address237A STATE RDDartmouth, MA 02747-2612
Mailing Address237a State RdDartmouth, MA 02747-2612
Phone(508) 979-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 1, 2020
Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1215534334 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 MA · RN2337737
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
237A STATE RD, Dartmouth, MA 02747
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Accepted Insurance

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

Katherine Ashley Woonton 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 ID3375959885
PECOS Enrollment IDI20210309000203
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 5

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.
170 services57 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
137 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services29 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.
26 services26 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02747 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 12

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

MRS. MADISON KENDRICK FNP
Nurse Practitioner (Family)
237A STATE RD
DARTMOUTH, MA 02747
Bristol County (508) 979-1100
PRIME HEALTH LLC
Internal Medicine (Geriatric Medicine)
237A STATE RD
DARTMOUTH, MA 02747
Bristol County (508) 742-5471
JAMES DENNIS MCELENEY MD
Preventive Medicine (Occupational Medicine)
237A STATE RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
ACO HEALTH SOLUTIONS, LLC
Internal Medicine (Geriatric Medicine)
237A STATE RD
DARTMOUTH, MA 02747
Bristol County (508) 991-9188
PRIME MEDICAL ASSOCIATES,LLC
Internal Medicine (Geriatric Medicine)
237A STATE RD
NORTH DARTMOUTH, MA 02747
Bristol County (508) 979-1100
HAWTHORN MEDICAL ASSOCIATES LLC
Durable Medical Equipment & Medical Supplies
237A STATE RD, ATTN. CREDENTIALING DEPT.
N DARTMOUTH, MA 02747
Bristol County (508) 996-3991
STEPHANIE ANN CLIFFORD CNP, RN
Nurse Practitioner (Family)
237A STATE RD
DARTMOUTH, MA 02747
Bristol County (508) 991-9188
ARUN RAJAN M.D.
Specialist
237A STATE RD
DARTMOUTH, MA 02747
Bristol County (508) 993-9760

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 Katherine Woonton's NPI number?

The NPI number for Katherine Woonton is 1215534334. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Katherine Woonton located?

Katherine Woonton practices at 237A State Rd, Dartmouth, MA 02747. The listed phone number is (508) 979-1100.

What is Katherine Woonton's specialty?

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

Is Katherine Woonton enrolled in Medicare?

Yes. Katherine Woonton 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 Katherine Woonton accept?

Health plans from Anthem Blue Cross and Blue Shield list Katherine Woonton 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 Katherine Woonton affiliated with any hospitals?

According to CMS data, Katherine Woonton is affiliated with Saint Anne's Hospital and Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Katherine Woonton was last updated on July 14, 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.