MRS. KAREN D WANTUCH NP-C
NPI 1245577154
Nurse Practitioner - Family in Forest City, NC

Q: What is Karen Wantuch's NPI number?

The NPI number for Karen Wantuch is 1245577154. It was assigned to this individual provider in the NPPES registry on January 11, 2013. The provider is also known as Karen D Rathwell.

Q: What is Karen Wantuch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karen Wantuch was last updated on January 13, 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.

Active since January 11, 2013PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

281 E MAIN ST, FOREST CITY, NC 28043(828) 245-6400(828) 245-3838 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2021, Nov 3, 2017 (2 updates tracked since 2017).

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About Mrs. Karen D Wantuch Np-c NPPES

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

MRS. KAREN D WANTUCH NP-C (NPI 1245577154) is an individual family provider in Forest City, North Carolina, licensed in North Carolina (169316) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245577154

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KAREN D WANTUCHCredential: NP-C

Location Address281 E MAIN STForest City, NC 28043-3126

Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413

Phone(828) 245-6400

Fax(828) 245-3838

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 11, 2013

Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2021

✔ NPI 1245577154 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

Licenses✔ Licensed in NC · 169316✔ Licensed in NC · F0712525

281 E MAIN ST, Forest City, NC 28043

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Other Names 1

Former Name (1)Karen D Rathwell

Other Identifiers 2

Medicaid7006658NC

OtherNCB931A2342423ANC · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and more.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. Karen D Wantuch Np-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 ID8820236268

PECOS Enrollment IDI20130524000451

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 11

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

279 services113 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.

221 services112 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.

140 services108 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

84 services12 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

74 services44 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.

69 services69 patients

Hospital Affiliations CMS Care Compare 3

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

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340013

Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County

Emergency services Birthing friendly

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340021

Location201 E Grover StShelby, NC 28150 · Cleveland County

Emergency services Birthing friendly

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28043 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers18 claims40 services$5.81 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers11 claims38 services$3.18 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 8

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

DR. JOHN MARK BENNETT MD

Family Medicine