MRS. CARLA SAMANTHA VASQUEZ FNP
NPI 1225674088
Nurse Practitioner in Yadkinville, NC

Q: What is Carla Vasquez's NPI number?

The NPI number for Carla Vasquez is 1225674088. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Q: What is Carla Vasquez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carla Vasquez was last updated on October 26, 2020. 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.

Active since November 26, 2019PECOS EnrolledAccepts Medicare Assignment

305 E LEE AVE, YADKINVILLE, NC 27055(336) 679-2661(336) 679-7056 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2020, Jan 14, 2020, Nov 26, 2019 (3 updates tracked since 2019).

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About Mrs. Carla Samantha Vasquez Fnp NPPES

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

MRS. CARLA SAMANTHA VASQUEZ FNP (NPI 1225674088) is an individual nurse practitioner in Yadkinville, North Carolina, licensed in North Carolina (5012577) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Newton.

NPPES Registry Identity

NPI1225674088

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. CARLA SAMANTHA VASQUEZCredential: FNP

Location Address305 E LEE AVEYadkinville, NC 27055-8132

Mailing AddressPo Box 751803Charlotte, NC 28275-1803

Phone(336) 679-2661

Fax(336) 679-7056

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 26, 2019

Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1225674088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5012577

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.

Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 247085 (NC)

305 E LEE AVE, Yadkinville, NC 27055

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Secondary Practice Location 1

Location 11111 E 20th StNewton, NC 28658-1955 · Phone (336) 391-2047

Accepted Insurance

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

Mrs. Carla Samantha Vasquez Fnp 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 ID2668808916

PECOS Enrollment IDI20200204001869

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 2

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.

138 services94 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.

21 services21 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27055 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 19

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

JOHN TAYLOR WILLIAMS MD

Family Medicine