Active NPI 1871547109 Individual Practitioner Female Practitioner

Carol Rae Fox , WHNP

Nurse Practitioner • Saint Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carol Fox, WHNP is a certified Nurse Practitioner practicing in Saint Paul, MN. With approximately 38 years of clinical experience since completing medical education in 1988, Carol Fox delivers high-quality medical care to the local community at 205 S WABASHA ST.

Carol Fox is affiliated with Group Health Plan Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

205 S Wabasha St
Mail Stop 31300a

Saint Paul, MN 551071805

Telephone 6512938100

Fax 6512938106

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Paul, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +25.8 yrs vs City Avg

City Avg: 12.2 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

171 Specialists

Practicing in Saint Paul, MN (2609 Statewide)

Telehealth Adoption Rate

16.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fox (38 Years) 38 Yrs

Saint Paul Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$277.34	$74.90
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	13	13	$166.28	$37.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	11	11	$21.00	$7.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	26	$248.25	$74.36
87660 Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique	22	19	$78.25	$19.78
87480 Detection test for candida species (yeast), direct probe technique	22	19	$78.25	$19.78
87510 Detection test for gardnerella vaginalis (bacteria), direct probe technique	22	19	$78.25	$19.78
36415 Insertion of needle into vein for collection of blood sample	20	14	$21.00	$2.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$152.25	$44.36
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	12	12	$129.82	$36.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$202.30	$77.62
87480 Detection test for candida species (yeast), direct probe technique	21	17	$75.25	$20.05
87510 Detection test for gardnerella vaginalis (bacteria), direct probe technique	21	17	$75.25	$20.05
87660 Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique	21	17	$75.25	$20.05
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	12	12	$117.69	$37.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$190.40	$59.89
87660 Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique	12	12	$68.17	$19.85
87480 Detection test for candida species (yeast), direct probe technique	12	12	$68.17	$19.85
87510 Detection test for gardnerella vaginalis (bacteria), direct probe technique	12	12	$68.17	$19.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$178.50	$62.94
87480 Detection test for candida species (yeast), direct probe technique	25	21	$53.00	$21.83
87660 Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique	25	21	$53.00	$21.83
87510 Detection test for gardnerella vaginalis (bacteria), direct probe technique	25	21	$53.00	$21.83
36415 Insertion of needle into vein for collection of blood sample	21	18	$25.00	$2.80
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	15	15	$96.59	$37.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$107.10	$38.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$207.00	$61.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$204.00	$60.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$121.00	$35.09
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	14	14	$46.00	$37.59

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN R1048744

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Group Health Plan Inc

205 Wabasha Ave S, Saint Paul, MN 551071805

Phone: 6512938100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Michelle Hicks , FNP

Nurse Practitioner - Family

NPI 1003232273

Family Nurse Practitioner

Dr. Bruce Johnson , MD

Internal Medicine

NPI 1023077658

Doctor of Medicine (M.D.)

Samantha Zarske , PA-C

Physician Assistant

NPI 1023522877

Physician Assistant (Certified)

Dr. Emily Thompson , MD

Emergency Medicine

NPI 1043693393

Doctor of Medicine (M.D.)

Dr. Salvador Calaf , MD

Orthopaedic Surgery

NPI 1053572156

Doctor of Medicine (M.D.)

Dr. Michael Eastman , DO

Internal Medicine - Nephrology

NPI 1053707760

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address February 22, 2019

Registered at 8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 554254516 (Tel: 6512938100)

✅

NPI Profile Active August 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2013

Registered at 205 S WABASHA ST, MAIL STOP 31300A, SAINT PAUL, MN 551071805 (Tel: 6512938100)

📍

Updated Business Mailing Address August 06, 2013

Registered at 205 WABASHA ST S, SAINT PAUL, MN 551071805 (Tel: 6512938100)

👤

Provider Name / Credentials Updated August 06, 2013

Recorded as CAROL FOX, WHNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Nurse Practitioner (License #R1048744 in MN)

🟢

Initial NPI Registration & Enumeration May 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871547109

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 20, 2006

Last Update: February 22, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8170 33rd Ave S # Ms 21110q

Minneapolis, MN 554254516

Phone: 6512938100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.