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MS. CAROL LYNNE HEGLAR NP
NPI 1790069342
Nurse Practitioner in Concord, NC

Active since September 30, 2011PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
1084 VINEHAVEN DR NE, CONCORD, NC 28025(704) 786-5131(704) 782-8662 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2021, Apr 19, 2017 (2 updates tracked since 2017).

About Ms. Carol Lynne Heglar Np NPPES

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

MS. CAROL LYNNE HEGLAR NP (NPI 1790069342) is an individual nurse practitioner in Concord, North Carolina, licensed in North Carolina (5005014) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1790069342
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. CAROL LYNNE HEGLARCredential: NP
Location Address1084 VINEHAVEN DR NEConcord, NC 28025-2438
Mailing Address9735 Kincey Ave, Suite 201Huntersville, NC 28078-9118 · (704) 414-2870 · Fax (704) 414-2860
Phone(704) 786-5131
Fax(704) 782-8662
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 30, 2011
Last NPPES UpdateMay 26, 20212 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
✔ NPI 1790069342 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 · 5005014
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 ListedUrologyTaxonomy 208800000X · License 5005014 (NC)
1084 VINEHAVEN DR NE, Concord, NC 28025
Open in Google Maps ↗

Other Identifiers 2

Other273905550NC · Np Certification # A1010095
Other5005014NC · Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and more.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

Ms. Carol Lynne Heglar Np 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 ID749445245
PECOS Enrollment IDI20120709000281
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 7

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.

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.
368 services237 patients
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.
263 services187 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.
188 services147 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.
138 services114 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.
111 services111 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
31 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
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.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,560 services$5.61 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 5

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

BETH WINKLEY
Physician Assistant
1084 VINEHAVEN DR NE
CONCORD, NC 28025
Cabarrus County (704) 786-5131
PAOLA BARRIENTOS NATALE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1084 VINEHAVEN DR NE
CONCORD, NC 28025
Cabarrus County (704) 900-9593
SIMONE WERTER PA-C
Physician Assistant
1084 VINEHAVEN DR NE
CONCORD, NC 28025
Cabarrus County (704) 786-5131
NORTHEAST UROLOGY RESEARCH
Urology
1084 VINEHAVEN DR NE
CONCORD, NC 28025
Cabarrus County (704) 786-5131
JAMES TYLER MILLS JR. MD
Urology
1084 VINEHAVEN DR NE
CONCORD, NC 28025
Cabarrus County (704) 786-5131

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 Carol Heglar's NPI number?

The NPI number for Carol Heglar is 1790069342. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Where is Carol Heglar located?

Carol Heglar practices at 1084 Vinehaven Dr NE, Concord, NC 28025. The listed phone number is (704) 786-5131.

What is Carol Heglar's specialty?

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

Is Carol Heglar enrolled in Medicare?

Yes. Carol Heglar 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 Carol Heglar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and UnitedHealthcare list Carol Heglar 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 Carol Heglar affiliated with any hospitals?

According to CMS data, Carol Heglar is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health, Stanly Regional Medical Center and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Carol Heglar was last updated on May 26, 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.