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SARAH SUMMERTON FNP-BC
NPI 1982254884
Nurse Practitioner - Family in Kitty Hawk, NC

Active since September 13, 2019PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
5120 N CROATAN HWY, KITTY HAWK, NC 27949(252) 449-5780(252) 449-5799 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sarah Summerton Fnp-bc NPPES

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

SARAH SUMMERTON FNP-BC (NPI 1982254884) is an individual family provider in Kitty Hawk, North Carolina, licensed in North Carolina (5012266) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1982254884
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH SUMMERTONCredential: FNP-BC
Location Address5120 N CROATAN HWYKitty Hawk, NC 27949-3988
Mailing Address5120 N Croatan HwyKitty Hawk, NC 27949-3988 · (252) 449-5780
Phone(252) 449-5780
Fax(252) 449-5799
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 13, 2019
✔ NPI 1982254884 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
License✔ Licensed in NC · 5012266
5120 N CROATAN HWY, Kitty Hawk, NC 27949
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Sarah Summerton Fnp-bc 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 ID1951734912
PECOS Enrollment IDI20191204002634
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 8

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.
522 services289 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.
239 services166 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.
138 services138 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services55 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
42 services42 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341324
Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County
Emergency services Birthing friendly

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27949 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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers34 claims89 services$5.60 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims63 services$3.13 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$55.76 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 3

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

DR. JEFFREY A RAY MD
Family Medicine
5120 N CROATAN HWY
KITTY HAWK, NC 27949
Dare County (252) 449-5780
LAUREN ENDEE BAER FNP-C
Nurse Practitioner (Family)
5120 N CROATAN HWY
KITTY HAWK, NC 27949
Dare County (252) 449-5780
ALYSSA ANNAMARIE SMITH PA-C
Physician Assistant (Medical)
5120 N CROATAN HWY
KITTY HAWK, NC 27949
Dare County (252) 449-5780

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 Sarah Summerton's NPI number?

The NPI number for Sarah Summerton is 1982254884. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Sarah Summerton located?

Sarah Summerton practices at 5120 N Croatan Hwy, Kitty Hawk, NC 27949. The listed phone number is (252) 449-5780.

What is Sarah Summerton's specialty?

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

Is Sarah Summerton enrolled in Medicare?

Yes. Sarah Summerton 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 Sarah Summerton accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Sarah Summerton 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 Sarah Summerton affiliated with any hospitals?

According to CMS data, Sarah Summerton is affiliated with Sentara Albemarle Medical Center, The Outer Banks Hospital, Inc, Sentara Norfolk General Hospital and Sentara Leigh Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Summerton was last updated on September 13, 2019. 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.