KAREN FRANCES HILBERT WHNP
NPI 1295823144
Nurse Practitioner - Women's Health in Asheville, NC

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
119 HENDERSONVILLE RD, ASHEVILLE, NC 28803(828) 771-5500(828) 257-4750 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Frances Hilbert Whnp NPPES

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

KAREN FRANCES HILBERT WHNP (NPI 1295823144) is an individual women's health provider in Asheville, North Carolina, licensed in North Carolina (800159) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Transylvania Regional Hospital, Inc, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1295823144
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKAREN FRANCES HILBERTCredential: WHNP
Location Address119 HENDERSONVILLE RDAsheville, NC 28803-2868
Mailing Address119 Hendersonville RdAsheville, NC 28803-2868 · (828) 771-5500
Fax(828) 257-4750
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 10, 2006
Last NPPES UpdateJune 30, 2023
NPPES CertifiedDecember 22, 2021
NPI 1295823144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in NC · 800159
Also ListedNurse PractitionerTaxonomy 363L00000X · License 18093 (SC)
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 800159 (NC)
119 HENDERSONVILLE RD, Asheville, NC 28803

Accepted 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

Karen Frances Hilbert Whnp 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 ID446404511
PECOS Enrollment IDI20220504001578
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.

Hospital Affiliations CMS Care Compare

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

Transylvania Regional Hospital, Inc

Critical Access Hospitals · Brevard, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341319
Location90 Hospital Drive PO Box 1116Brevard, NC 28712 · Transylvania County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Pediatrics (Neonatal-Perinatal Medicine)
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Obstetrics & Gynecology
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Advanced Practice Midwife
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Social Worker (Clinical)
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Advanced Practice Midwife
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Obstetrics & Gynecology
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Advanced Practice Midwife
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Student in an Organized Health Care Education/Training Program
119 HENDERSONVILLE RD
ASHEVILLE, NC 28803

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 Karen Hilbert's NPI number?

The NPI number for Karen Hilbert is 1295823144. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Karen Hilbert located?

Karen Hilbert practices at 119 Hendersonville Rd, Asheville, NC 28803. The listed phone number is (828) 771-5500.

What is Karen Hilbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Karen Hilbert enrolled in Medicare?

Yes. Karen Hilbert 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 Karen Hilbert accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, First Choice Next, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Karen Hilbert 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 Karen Hilbert affiliated with any hospitals?

According to CMS data, Karen Hilbert is affiliated with Transylvania Regional Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Karen Hilbert was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.