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DR. TERESA ANN FRALIX MD, PHD
NPI 1992888291
Family Medicine in Hendersonville, NC

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
2579 CHIMNEY ROCK RD, HENDERSONVILLE, NC 28792(828) 692-4289 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Teresa Ann Fralix Md, Phd NPPES

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

DR. TERESA ANN FRALIX MD, PHD (NPI 1992888291) is an individual family medicine provider in Hendersonville, North Carolina, licensed in North Carolina (97-01357) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and is a graduate of Duke University School Of Medicine (1996).

NPPES Registry Identity

NPI1992888291
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TERESA ANN FRALIXCredential: MD, PHD
Location Address2579 CHIMNEY ROCK RDHendersonville, NC 28792-9181
Mailing Address2579 Chimney Rock RdHendersonville, NC 28792-9181 · (828) 692-4289
Phone(828) 692-4289
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1996
Enumeration DateOctober 23, 2006
Last NPPES UpdateMarch 8, 2016
✔ NPI 1992888291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 97-01357
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2579 CHIMNEY ROCK RD, Hendersonville, NC 28792
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Other Identifiers 1

Medicare UPING74624NC

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Teresa Ann Fralix Md, Phd 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 ID3779611090
PECOS Enrollment IDI20100506000977
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.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Fralix reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Community Health Services, Inc.
Same address
Federally Qualified Health Center (FQHC)
2579 CHIMNEY ROCK RD
Hendersonville, NC 28792
NPI 1225029051 (828) 692-4289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28792 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.

ALEXIS ANNE MORINI FNP-C
Nurse Practitioner (Family)
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Henderson County (828) 692-4289
MELISSA REBECCA POWIDZKI PA-C, CAQ-PSYCH
Physician Assistant
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Henderson County (828) 692-4289
SUSAN HINES CACERES ARAYA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Henderson County (828) 692-4289
REBECCA JOY PRICE RD, MPH
Dietitian, Registered
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Henderson County (828) 692-4289
KATHRYN SARAH SANFORD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Henderson County (828) 696-2350
NICHOLE MICHELLE ONASH
Family Medicine
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Henderson County (828) 692-4289
JUELENA RENEE LALONE TODD M.D.
Family Medicine
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Henderson County (828) 692-4289
NIMEKA NITRICE DUPREE PHILLIP M.D.
Hospitalist
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Henderson County (828) 692-4289

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 Teresa Fralix's NPI number?

The NPI number for Teresa Fralix is 1992888291. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Teresa Fralix located?

Teresa Fralix practices at 2579 Chimney Rock Rd, Hendersonville, NC 28792. The listed phone number is (828) 692-4289.

What is Teresa Fralix's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Teresa Fralix enrolled in Medicare?

Yes. Teresa Fralix 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.

Which organization bills Medicare for Teresa Fralix's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Fralix reassigns Medicare benefits to Blue Ridge Community Health Services, Inc. (Hendersonville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Fralix's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Fralix accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Teresa Fralix 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 Teresa Fralix affiliated with any hospitals?

According to CMS data, Teresa Fralix is affiliated with Margaret R Pardee Memorial Hospital and Adventhealth Hendersonville.

When was this NPI record last updated?

The NPPES record for Teresa Fralix was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.