MRS. CAROLINE ANNE MATHIS APRN-BC
NPI 1467766949
Nurse Practitioner in Asheville, NC

Active since July 27, 2010PECOS EnrolledAccepts Medicare Assignment
87.27/100
CMS Quality Rating
1 HOSPITAL DR STE 4100, ASHEVILLE, NC 28801(828) 254-8883 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2021, Dec 6, 2018, Nov 19, 2015 (3 updates tracked since 2015).

About Mrs. Caroline Anne Mathis Aprn-bc NPPES

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

MRS. CAROLINE ANNE MATHIS APRN-BC (NPI 1467766949) is an individual nurse practitioner in Asheville, North Carolina, licensed in North Carolina (5013871) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467766949
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. CAROLINE ANNE MATHISCredential: APRN-BC
Location Address1 HOSPITAL DR STE 4100Asheville, NC 28801-4550
Mailing Address1 Hospital Dr Ste 4100Asheville, NC 28801-4550 · (828) 254-8883
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 27, 2010
Last NPPES UpdateSeptember 19, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
NPI 1467766949 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 · 5013871
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 · Women's HealthTaxonomy 363LW0102X · License APRN09181512 (FL), 15084 (TN), 5013871 (NC)
1 HOSPITAL DR STE 4100, Asheville, NC 28801

Secondary Practice Locations 2

Location 11400 N US Highway 441, Bldg 810The Villages, FL 32159-8975 · Phone (352) 673-8731 · Fax (352) 674-8715
Location 25 Firstvillage DrivePinehurst, NC 28374 · Phone (910) 295-6831 · Fax (910) 235-0244

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

Mrs. Caroline Anne Mathis Aprn-bc 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 ID9638364359
PECOS Enrollment IDI20210113001598
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 17

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
167 services142 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.
163 services131 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
152 services129 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.
149 services132 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.
135 services124 patients
Simple change of bladder tube 51705
A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.
76 services14 patients

Hospital Affiliations CMS Care Compare 2

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

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340087
Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28801 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.

87.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.13
Promoting Interoperability100
Improvement Activities40
Cost85.46

Other Providers at the Same Location NPPES 7

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

Urology
1 HOSPITAL DR STE 4100
ASHEVILLE, NC 28801
Physician Assistant
1 HOSPITAL DR STE 4100
ASHEVILLE, NC 28801
Physician Assistant
1 HOSPITAL DR STE 4100
ASHEVILLE, NC 28801
Physician Assistant (Medical)
1 HOSPITAL DR STE 4100
ASHEVILLE, NC 28801
Nurse Practitioner (Family)
1 HOSPITAL DR STE 4100
ASHEVILLE, NC 28801
Physician Assistant
1 HOSPITAL DR STE 4100
ASHEVILLE, NC 28801
Internal Medicine
1 HOSPITAL DR STE 4100
ASHEVILLE, NC 28801

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 Caroline Mathis's NPI number?

The NPI number for Caroline Mathis is 1467766949. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Caroline Mathis located?

Caroline Mathis practices at 1 Hospital Dr Ste 4100, Asheville, NC 28801. The listed phone number is (828) 254-8883.

What is Caroline Mathis's specialty?

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

Is Caroline Mathis enrolled in Medicare?

Yes. Caroline Mathis 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 Caroline Mathis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Caroline Mathis 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 Caroline Mathis affiliated with any hospitals?

According to CMS data, Caroline Mathis is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and The Mcdowell Hospital.

When was this NPI record last updated?

The NPPES record for Caroline Mathis was last updated on September 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.