CAROL JO WILBANKS NP
NPI 1952913808
Nurse Practitioner - Primary Care in Chattanooga, TN

Q: What is Carol Wilbanks's NPI number?

The NPI number for Carol Wilbanks is 1952913808. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Q: What is Carol Wilbanks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Carol Wilbanks was last updated on August 5, 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.

Active since August 21, 2020PECOS EnrolledAccepts Medicare Assignment

94.7/100

CMS Quality Rating

2501 CITICO AVE, CHATTANOOGA, TN 37404(423) 697-2000(423) 697-2320 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2021, Aug 21, 2020 (2 updates tracked since 2020).

On this page

About Carol Jo Wilbanks Np NPPES

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

CAROL JO WILBANKS NP (NPI 1952913808) is an individual primary care provider in Chattanooga, Tennessee, licensed in Tennessee (APN0000027836) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Chi Memorial Hospital- Georgia, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952913808

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameCAROL JO WILBANKSCredential: NP

Location Address2501 CITICO AVEChattanooga, TN 37404-1127

Mailing Address2501 Citico AveChattanooga, TN 37404-1127 · (423) 697-2000 · Fax (423) 697-2320

Phone(423) 697-2000

Fax(423) 697-2320

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 21, 2020

Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration

NPPES CertifiedAugust 5, 2021

✔ NPI 1952913808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in TN · APN0000027836

2501 CITICO AVE, Chattanooga, TN 37404

Open in Google Maps ↗

Other Identifiers 1

Other27836TN · Tn Apn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Carol Jo Wilbanks 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 ID8729484605

PECOS Enrollment IDI20210831003418

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 2

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 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.

1,024 services812 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.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number110236

Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County

Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

94.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.41

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

99%704 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

99%2,415 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 20

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

MS. CHELSEY DARLENE BENSON DNP, AG-ACNP

Nurse Practitioner (Acute Care)