AUTUMN EAU CLAIRE NEWBERRY
NPI 1831954932
Nurse Practitioner in Southern Pines, NC

Active since February 19, 2024PECOS EnrolledAccepts Medicare Assignment
103 GOSSMAN RD, SOUTHERN PINES, NC 28387(800) 226-8874 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autumn Eau Claire Newberry NPPES

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

AUTUMN EAU CLAIRE NEWBERRY (NPI 1831954932) is an individual nurse practitioner in Southern Pines, North Carolina, licensed in North Carolina (5022152) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831954932
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAUTUMN EAU CLAIRE NEWBERRY
Location Address103 GOSSMAN RDSouthern Pines, NC 28387-2225
Mailing Address3800 S Ocean Dr Ste 209Hollywood, FL 33019-2915 · (800) 226-8874
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2024
Last NPPES UpdateMay 30, 2025
NPPES CertifiedMay 30, 2025
NPI 1831954932 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 · 5022152
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.
103 GOSSMAN RD, Southern Pines, NC 28387

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

Autumn Eau Claire Newberry 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 ID3678089893
PECOS Enrollment IDI20250723002076
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28387 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.

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.

Occupational Therapist
103 GOSSMAN RD
SOUTHERN PINES, NC 28387
Occupational Therapy Assistant
103 GOSSMAN RD
SOUTHERN PINES, NC 28387
Physical Therapy Assistant
103 GOSSMAN RD
SOUTHERN PINES, NC 28387
Occupational Therapy Assistant
103 GOSSMAN RD
SOUTHERN PINES, NC 28387
Occupational Therapy Assistant
103 GOSSMAN RD
SOUTHERN PINES, NC 28387
Skilled Nursing Facility
103 GOSSMAN RD
SOUTHERN PINES, NC 28387
Physical Therapist
103 GOSSMAN RD
SOUTHERN PINES, NC 28387
Physical Therapy Assistant
103 GOSSMAN RD
SOUTHERN PINES, NC 28387

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 Autumn Newberry's NPI number?

The NPI number for Autumn Newberry is 1831954932. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Autumn Newberry located?

Autumn Newberry practices at 103 Gossman Rd, Southern Pines, NC 28387. The listed phone number is (800) 226-8874.

What is Autumn Newberry's specialty?

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

Is Autumn Newberry enrolled in Medicare?

Yes. Autumn Newberry 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 Autumn Newberry accept?

Health plans from Blue Cross and Blue Shield of NC list Autumn Newberry 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 Autumn Newberry was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.