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CARLA REBECCA KIMMEL FNP-C
NPI 1689640336
Nurse Practitioner - Family in Lake Toxaway, NC

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
16825 ROSMAN HWY, LAKE TOXAWAY, NC 28747(828) 862-6900(828) 862-6904 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2022, May 11, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Carla Rebecca Kimmel Fnp-c NPPES

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

CARLA REBECCA KIMMEL FNP-C (NPI 1689640336) is an individual family provider in Lake Toxaway, North Carolina, licensed in North Carolina (5010375) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1689640336
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLA REBECCA KIMMELCredential: FNP-C
Location Address16825 ROSMAN HWYLake Toxaway, NC 28747-9593
Mailing AddressPo Box 602373Charlotte, NC 28260-2373 · (828) 213-1500 · Fax (828) 651-6570
Phone(828) 862-6900
Fax(828) 862-6904
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJanuary 4, 20224 updates tracked since enumeration
✔ NPI 1689640336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5010375
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5010375 (NC)
16825 ROSMAN HWY, Lake Toxaway, NC 28747
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1187 Medical Park DrBrevard, NC 28712-4189 · Phone (828) 884-9362 · Fax (828) 884-3851
Location 2377 Gallimore RdBrevard, NC 28712-8874 · Phone (828) 884-9030 · Fax (828) 884-3563

Other Identifiers 1

MedicaidNP0823SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina.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

Carla Rebecca Kimmel 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 ID4789654062
PECOS Enrollment IDI20180608000018
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 6

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.
61 services59 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.
49 services49 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.
45 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 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.
29 services29 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28747 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

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
4 suppliers13 claims30 services$6.30 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.

JAMES RAYMOND BUEHLER MD
Family Medicine (Geriatric Medicine)
16825 ROSMAN HWY
LAKE TOXAWAY, NC 28747
Transylvania County (828) 862-6900
VICKY LEIGH COOKE-THORNTON ANP-C
Nurse Practitioner
16825 ROSMAN HWY
LAKE TOXAWAY, NC 28747
Transylvania County (828) 862-6900
TRANSYLVANIA COMMUNITY HOSPITAL, INC.
Family Medicine
16825 ROSMAN HWY
LAKE TOXAWAY, NC 28747
Transylvania County (828) 862-6900

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 Carla Kimmel's NPI number?

The NPI number for Carla Kimmel is 1689640336. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Carla Kimmel located?

Carla Kimmel practices at 16825 Rosman Hwy, Lake Toxaway, NC 28747. The listed phone number is (828) 862-6900.

What is Carla Kimmel's specialty?

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

Is Carla Kimmel enrolled in Medicare?

Yes. Carla Kimmel 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 Carla Kimmel accept?

Health plans from Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina list Carla Kimmel 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.

When was this NPI record last updated?

The NPPES record for Carla Kimmel was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.