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MRS. KATHERINE VAUGHAN HEMBERG N.P.
NPI 1295001618
Nurse Practitioner in Madison, NC

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
723 AYERSVILLE RD, MADISON, NC 27025(704) 384-7840 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 28, 2020, Oct 1, 2015 (2 updates tracked since 2015).

About Mrs. Katherine Vaughan Hemberg N.p. NPPES

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

MRS. KATHERINE VAUGHAN HEMBERG N.P. (NPI 1295001618) is an individual nurse practitioner in Madison, North Carolina, licensed in North Carolina (5005575) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1295001618
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KATHERINE VAUGHAN HEMBERGCredential: N.P.
Location Address723 AYERSVILLE RDMadison, NC 27025-1505
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840
Phone(704) 384-7840
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 29, 2012
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
✔ NPI 1295001618 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 · 5005575
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 ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5005575 (NC)
723 AYERSVILLE RD, Madison, NC 27025
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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. Katherine Vaughan Hemberg N.p. 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 ID4284896010
PECOS Enrollment IDI20120424000365
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.
99 services41 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
57 services33 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.
26 services12 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.
22 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27025 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
90%82 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
74%31 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%75 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%116 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
48%40 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers16 claims38 services$6.80 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 3

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

DR. LEONARD ROBERT NYLAND M.D.
Family Medicine
723 AYERSVILLE RD
MADISON, NC 27025
Rockingham County (336) 427-0281
LEONARD R NYLAND, MD,PLLC
Family Medicine
723 AYERSVILLE RD
MADISON, NC 27025
Rockingham County (336) 427-0281
NOVANT MEDICAL GROUP INC
Family Medicine
723 AYERSVILLE RD
MADISON, NC 27025
Rockingham County (704) 384-7605

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 Hemberg's NPI number?

The NPI number for Katherine Hemberg is 1295001618. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Katherine Hemberg located?

Katherine Hemberg practices at 723 Ayersville Rd, Madison, NC 27025. The listed phone number is (704) 384-7840.

What is Katherine Hemberg's specialty?

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

Is Katherine Hemberg enrolled in Medicare?

Yes. Katherine Hemberg 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 Hemberg accept?

Health plans from Blue Cross and Blue Shield of NC list Katherine Hemberg 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 Hemberg affiliated with any hospitals?

According to CMS data, Katherine Hemberg is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Katherine Hemberg was last updated on October 28, 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.