PROF. SHEILA JANE PYNES FNP
NPI 1356390314
Nurse Practitioner - Family in Asheville, NC

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
68 SWEETEN CREEK RD, ASHEVILLE, NC 28803(828) 277-4800(828) 277-4865 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Prof. Sheila Jane Pynes Fnp NPPES

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

PROF. SHEILA JANE PYNES FNP (NPI 1356390314) is an individual family provider in Asheville, North Carolina, licensed in North Carolina (5005992) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1356390314
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePROF. SHEILA JANE PYNESCredential: FNP
Location Address68 SWEETEN CREEK RDAsheville, NC 28803-2318
Mailing AddressPo Box 751848Charlotte, NC 28275-1848 · (828) 274-6190 · Fax (827) 277-4890
Fax(828) 277-4865
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 8, 2006
Last NPPES UpdateJune 29, 2016
✔ NPI 1356390314 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 · 5005992
68 SWEETEN CREEK RD, Asheville, NC 28803

Other Names 1

Former Name (1)Sheila Jane Thurber Arnp

Other Identifiers 1

Medicare PINNCA12BNC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prof. Sheila Jane Pynes 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 ID1557367851
PECOS Enrollment IDI20130304000361
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sheila Pynes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation Hospital
68 SWEETEN CREEK RD
Asheville, NC 28803
  • Reassigned Medicare billing, North Carolina enrollment
  • 11 clinicians in this Medicare group
Psychiatry
11 VANDERBILT PARK DR
Asheville, NC 28803
  • Reassigned Medicare billing, North Carolina enrollment
  • 824 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services47 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
46 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier22 claims22 services$61.56 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$12.03 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 20

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

Physical Therapist
68 SWEETEN CREEK RD
ASHEVILLE, NC 28803
Internal Medicine
68 SWEETEN CREEK RD
ASHEVILLE, NC 28803
Internal Medicine
68 SWEETEN CREEK RD
ASHEVILLE, NC 28803
Nurse Practitioner
68 SWEETEN CREEK RD
ASHEVILLE, NC 28803
Family Medicine (Hospice and Palliative Medicine)
68 SWEETEN CREEK RD
ASHEVILLE, NC 28803
Speech-Language Pathologist
68 SWEETEN CREEK RD
ASHEVILLE, NC 28803
Physical Therapist
68 SWEETEN CREEK RD
ASHEVILLE, NC 28803
Occupational Therapist
68 SWEETEN CREEK 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 Sheila Pynes's NPI number?

The NPI number for Sheila Pynes is 1356390314. It was assigned to this individual provider in the NPPES registry on May 8, 2006. The provider is also known as Sheila Jane Thurber Arnp.

Where is Sheila Pynes located?

Sheila Pynes practices at 68 Sweeten Creek Rd, Asheville, NC 28803. The listed phone number is (828) 277-4800.

What is Sheila Pynes's specialty?

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

Is Sheila Pynes enrolled in Medicare?

Yes. Sheila Pynes 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.

Which organizations bill Medicare for Sheila Pynes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Pynes reassigns Medicare benefits to 2 organizations: Carepartners Rehabilitation Hospital, Lllp (Asheville, NC) and Mission Health Community Multispecialty Providers, LLC (Asheville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheila Pynes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Pynes accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Sheila Pynes 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 Sheila Pynes affiliated with any hospitals?

According to CMS data, Sheila Pynes is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Sheila Pynes was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.