MICHELLE LUMPKIN SAIN FNP-C
NPI 1376174078
Nurse Practitioner in Hickory, NC

Q: What is Michelle Sain's NPI number?

The NPI number for Michelle Sain is 1376174078. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Q: What is Michelle Sain'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 Michelle Sain was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 31, 2020PECOS EnrolledAccepts Medicare Assignment

415 N CENTER ST STE 300, HICKORY, NC 28601(828) 328-3300(828) 624-0365 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2024, Feb 6, 2024, Oct 4, 2021 and 4 more (7 updates tracked since 2020).

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About Michelle Lumpkin Sain Fnp-c NPPES

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

MICHELLE LUMPKIN SAIN FNP-C (NPI 1376174078) is an individual nurse practitioner in Hickory, North Carolina, licensed in North Carolina (5012807) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Frye Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376174078

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMICHELLE LUMPKIN SAINCredential: FNP-C

Location Address415 N CENTER ST STE 300Hickory, NC 28601-5036

Mailing Address415 N Center St Ste 300Hickory, NC 28601-5036 · (828) 328-3300 · Fax (828) 624-0364

Phone(828) 328-3300

Fax(828) 624-0365

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 31, 2020

Last NPPES UpdateMay 29, 20247 updates tracked since enumeration

NPPES CertifiedMay 29, 2024

✔ NPI 1376174078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5012807

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.

415 N CENTER ST STE 300, Hickory, NC 28601

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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, UnitedHealthcare.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

Michelle Lumpkin Sain Fnp-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 ID4385064427

PECOS Enrollment IDI20201012001575

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 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.

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.

77 services64 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 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.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC

1/5 CMS rating

OwnershipProprietary

CMS Certification Number340116

Location420 N Center StHickory, NC 28601 · Catawba County

Emergency services Birthing friendly

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340143

Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28601 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.

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Other Providers at the Same Location NPPES 13

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

DISHA SHAH

Internal Medicine (Gastroenterology)