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MRS. BILLIE JO WOODHAM ARNP
NPI 1851564884
Nurse Practitioner - Family in Hickory, NC

Active since April 10, 2008PECOS EnrolledAccepts Medicare Assignment
210 13TH AVENUE PL NW STE 120, HICKORY, NC 28601(828) 328-2941 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Billie Jo Woodham Arnp NPPES

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

MRS. BILLIE JO WOODHAM ARNP (NPI 1851564884) is an individual family provider in Hickory, North Carolina, licensed in North Carolina (5019149) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Frye Regional Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1851564884
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BILLIE JO WOODHAMCredential: ARNP
Location Address210 13TH AVENUE PL NW STE 120Hickory, NC 28601-2568
Mailing Address210 13th Avenue Pl Nw Ste 120Hickory, NC 28601-2568 · (828) 328-2941
Phone(828) 328-2941
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 10, 2008
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1851564884 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
Licenses✔ Licensed in NC · 5019149✔ Licensed in FL · 3281042
210 13TH AVENUE PL NW STE 120, Hickory, NC 28601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Mrs. Billie Jo Woodham Arnp 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 ID6608992102
PECOS Enrollment IDI20240122001347
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 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.
182 services120 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.
35 services27 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.
21 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28601 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%127 patients4/55-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.

Other Providers at the Same Location NPPES

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

MS. STEPHANIE MARIE ESTEVEZ NP
Nurse Practitioner (Family)
210 13TH AVENUE PL NW STE 120
HICKORY, NC 28601
Catawba County (828) 328-2941

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 Billie Woodham's NPI number?

The NPI number for Billie Woodham is 1851564884. It was assigned to this individual provider in the NPPES registry on April 10, 2008.

Where is Billie Woodham located?

Billie Woodham practices at 210 13th Avenue Pl NW Ste 120, Hickory, NC 28601. The listed phone number is (828) 328-2941.

What is Billie Woodham's specialty?

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

Is Billie Woodham enrolled in Medicare?

Yes. Billie Woodham 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 Billie Woodham accept?

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

According to CMS data, Billie Woodham is affiliated with Frye Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Billie Woodham was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.