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STEPHANIE WATKINS HELFRICH FNP
NPI 1215611991
Nurse Practitioner - Family in Holly Springs, NC

Active since June 13, 2023Opted out of Medicare · through Apr 1, 2028
101 COTTEN LN, HOLLY SPRINGS, NC 27540(919) 235-6555 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Jun 13, 2023 (2 updates tracked since 2023).

About Stephanie Watkins Helfrich Fnp NPPES

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

STEPHANIE WATKINS HELFRICH FNP (NPI 1215611991) is an individual family provider in Holly Springs, North Carolina, licensed in North Carolina (5018244) and active in the NPI registry since June 2023. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215611991
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE WATKINS HELFRICHCredential: FNP
Location Address101 COTTEN LNHolly Springs, NC 27540-8415
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0351 · Fax (919) 350-7687
Phone(919) 235-6555
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 13, 2023
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1215611991 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 · 5018244
101 COTTEN LN, Holly Springs, NC 27540
Open in Google Maps ↗

Other Identifiers 1

Medicaid1215611991NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stephanie Watkins Helfrich Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 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.
66 services49 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.
23 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 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
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27540 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 9

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

GREGG CHARLES LOWERY DO
Family Medicine
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6555
DR. BRIANNA NICOLE FRAME MD
Obstetrics & Gynecology
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6456
SCOTT JACOB BARTKOSKI M.D,
Family Medicine
101 COTTEN LN, ST 2
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6555
STEPHANIE ANNE-LAMAR EHLERS CNM
Advanced Practice Midwife
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6456
WAKE SPECIALTY PHYSICIANS LLC
Family Medicine
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6555
MRS. MONICA LASHONDA MCLAUGHLIN FNP
Nurse Practitioner (Family)
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6456
VIDUSHI MEHROTRA D.O.
Family Medicine
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6555
DR. LI XU MD
Obstetrics & Gynecology
101 COTTEN LN
HOLLY SPRINGS, NC 27540
Wake County (919) 235-6456

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 Stephanie Helfrich's NPI number?

The NPI number for Stephanie Helfrich is 1215611991. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Where is Stephanie Helfrich located?

Stephanie Helfrich practices at 101 Cotten Ln, Holly Springs, NC 27540. The listed phone number is (919) 235-6555.

What is Stephanie Helfrich's specialty?

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

Is Stephanie Helfrich enrolled in Medicare?

No. Stephanie Helfrich has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Stephanie Helfrich accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Stephanie Helfrich 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 Stephanie Helfrich affiliated with any hospitals?

According to CMS data, Stephanie Helfrich is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Stephanie Helfrich was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.