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DR. XIOMARA ANTONETTI VANCE MD
NPI 1902290281
Emergency Medicine in Jacksonville, NC

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment
317 WESTERN BLVD, JACKSONVILLE, NC 28546(910) 577-2345 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Xiomara Antonetti Vance Md NPPES

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

DR. XIOMARA ANTONETTI VANCE MD (NPI 1902290281) is an individual emergency medicine provider in Jacksonville, North Carolina, licensed in North Carolina (2020-00137) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Community Hospital, and is a graduate of New York Medical College (2015).

NPPES Registry Identity

NPI1902290281
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. XIOMARA ANTONETTI VANCECredential: MD
Location Address317 WESTERN BLVDJacksonville, NC 28546-6338
Mailing Address317 Western BlvdJacksonville, NC 28546-6338 · (910) 577-2345
Phone(910) 577-2345
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2015
Enumeration DateMarch 24, 2015
Last NPPES UpdateFebruary 5, 2020
✔ NPI 1902290281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NC · 2020-00137✔ Licensed in NY · 293040-1
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
317 WESTERN BLVD, Jacksonville, NC 28546
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Other Names 1

Former Name (1)Dr. Xiomara Antonetti Md

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

Dr. Xiomara Antonetti Vance Md 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 ID8820344526
PECOS Enrollment IDI20180711001737
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
118 services112 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
112 services108 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
52 services50 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Bon Secours Community Hospital

Acute Care Hospitals · Port Jervis, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330135
Location160 East Main StreetPort Jervis, NY 12771 · Orange County
Emergency services

St Anthony Community Hospital

Acute Care Hospitals · Warwick, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330205
Location15 Maple Avenue -19Warwick, NY 10990 · Orange County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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.

DR. ANURADHA ARCOT M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
317 WESTERN BLVD, DEPARTMENT OF PATHOLOGY
JACKSONVILLE, NC 28546
Onslow County (910) 577-2286
GINA LEE BANKS LCSW-A
Social Worker (Clinical)
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-4900
DR. ALEXIS ECCLESTON DO
Emergency Medicine
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-2345
DR. STEPHANIE WODOWSKI D.O.
Emergency Medicine
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-2240
ONSLOW RADIATION ONCOLOGY LLC
Clinic/Center (Oncology, Radiation)
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-4900
MELISSA KLINE RN
Registered Nurse
317 WESTERN BLVD, ICU
JACKSONVILLE, NC 28546
Onslow County (910) 577-2351
DANIEL HAWKINS PA-C
Physician Assistant
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-2345
MRS. SUYONG GRACE LUNA FNP
Nurse Practitioner (Family)
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-2345

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 Xiomara Vance's NPI number?

The NPI number for Xiomara Vance is 1902290281. It was assigned to this individual provider in the NPPES registry on March 24, 2015. The provider is also known as Dr. Xiomara Antonetti MD.

Where is Xiomara Vance located?

Xiomara Vance practices at 317 Western Blvd, Jacksonville, NC 28546. The listed phone number is (910) 577-2345.

What is Xiomara Vance's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Xiomara Vance enrolled in Medicare?

Yes. Xiomara Vance 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.

Is Xiomara Vance affiliated with any hospitals?

According to CMS data, Xiomara Vance is affiliated with Bon Secours Community Hospital and St Anthony Community Hospital.

When was this NPI record last updated?

The NPPES record for Xiomara Vance was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.