ERIN M HUGHES FNP-C
NPI 1780644864
Nurse Practitioner - Family in Raleigh, NC

Active since March 24, 2006PECOS Enrolled
84/100
CMS Quality Rating
3001 EDWARDS MILL RD, SUITE 200, RALEIGH, NC 27612(919) 781-5600(919) 782-6578 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2021, Apr 12, 2021, Jan 6, 2021 and 1 more (4 updates tracked since 2016).

About Erin M Hughes Fnp-c NPPES

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

ERIN M HUGHES FNP-C (NPI 1780644864) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5005712) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1780644864
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERIN M HUGHESCredential: FNP-C
Location Address3001 EDWARDS MILL RD, SUITE 200Raleigh, NC 27612-5243
Mailing Address3001 Edwards Mill Rd Ste 200Raleigh, NC 27612-5243 · (919) 781-5600 · Fax (919) 863-6821
Fax(919) 782-6578
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 24, 2006
Last NPPES UpdateMay 7, 20214 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
NPI 1780644864 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 · 5005712
3001 EDWARDS MILL RD, Raleigh, NC 27612

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 (PECOS)

Erin M Hughes Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062488638
PECOS Enrollment IDI20121105000693
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 11

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
2,616 services39 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
469 services189 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
448 services217 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.
366 services293 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
230 services175 patients
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
124 services33 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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.

84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.91
Promoting Interoperability98
Improvement Activities40
Cost59.44

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%27 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
99%1,151 patients4/55-star benchmark: 100%
e-Prescribing
99%759 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%788 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,078 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,146 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 73% · 1,077 patients
Patients screened: 73% · 1,077 patients
100%26 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%1,147 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%68 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 819 patients
Patients totalRate: 0% · 819 patients
0%819 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories E1811
DME-Other DME · category DE000N
2 suppliers29 claims29 services$121.54 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.

Orthopaedic Surgery
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Physical Therapy Assistant
3001 EDWARDS MILL RD, 300
RALEIGH, NC 27612
Physical Therapy Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Physical Therapist
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612

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 Erin Hughes's NPI number?

The NPI number for Erin Hughes is 1780644864. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Erin Hughes located?

Erin Hughes practices at 3001 Edwards Mill Rd Suite 200, Raleigh, NC 27612. The listed phone number is (919) 781-5600.

What is Erin Hughes's specialty?

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

Is Erin Hughes enrolled in Medicare?

Yes. Erin Hughes is registered in the Medicare PECOS enrollment system.

What insurance does Erin Hughes accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Erin Hughes 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 Erin Hughes affiliated with any hospitals?

According to CMS data, Erin Hughes is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Erin Hughes was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.