Active NPI 1871739367 Individual Practitioner Female Practitioner

Sandra G Wilusz , FNP-BC

Nurse Practitioner • Hildebran, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sandra Wilusz, FNP-BC is a certified Nurse Practitioner practicing in Hildebran, NC. With approximately 18 years of clinical experience since completing medical education in 2008, Sandra Wilusz delivers high-quality medical care to the local community at 517 MAIN AVE W.

Sandra Wilusz is affiliated with Impact Healthcare, P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

517 Main Ave W

Hildebran, NC 286378312

Telephone 8285805561

Fax 8285803226

Associated Practice Facility / Clinic

🏢 Laboratory Corporation Of America Holdings Facility NPI 1245473073

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hildebran, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs Matches City Avg

City Avg: 18.0 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Hildebran, NC (4565 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilusz (18 Years) 18 Yrs

Hildebran Specialty Average (18.0 Years) 18.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	68	$200.00	$101.50
99213 Established patient office or other outpatient visit, typically 15 minutes	126	77	$150.00	$71.57
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	103	65	$25.00	$13.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$200.00	$87.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	56	46	$50.00	$18.11
G0442 Annual alcohol misuse screening, 5 to 15 minutes	52	52	$40.00	$14.91
87804 Detection test by immunoassay with direct visual observation for influenza virus	50	23	$50.00	$16.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$175.00	$103.17
G0444 Annual depression screening, 5 to 15 minutes	45	45	$40.00	$14.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$225.00	$133.35
99497 Advance care planning, first 30 minutes	42	42	$150.00	$65.36
81003 Automated urinalysis test	33	29	$15.00	$2.20
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	25	23	$100.00	$40.55
83036 Hemoglobin A1C level	23	18	$30.00	$9.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	19	$30.00	$11.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$250.00	$175.30
69210 Removal of impacted ear wax	18	17	$100.00	$36.80
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$175.00	$57.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	126	$274.87	$103.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$348.85	$106.24
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$186.80	$73.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$233.90	$131.39
83036 Hemoglobin A1C level	21	16	$32.86	$9.52
G0008 Administration of influenza virus vaccine	17	17	$58.00	$27.45
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	17	17	$216.00	$71.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$266.07	$180.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$200.00	$91.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	115	$251.71	$105.93
99213 Established patient office or other outpatient visit, typically 15 minutes	72	59	$173.68	$74.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$337.00	$108.00
99442 Telephone medical discussion with physician, 11-20 minutes	18	16	$209.72	$72.48
G0008 Administration of influenza virus vaccine	12	12	$34.50	$27.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	107	$227.03	$107.82
99213 Established patient office or other outpatient visit, typically 15 minutes	130	90	$145.27	$75.42
83036 Hemoglobin A1C level	33	27	$52.00	$9.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	11	$73.00	$11.33
G0008 Administration of influenza virus vaccine	25	25	$27.00	$16.26
90682 Influenza vaccine, quadrivalent derived from recombinant dna	20	20	$125.00	$65.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$330.00	$151.54
92228 Imaging of retina with remote review by physician	17	17	$92.00	$25.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	12	$143.00	$43.92
82044 Urine microalbumin (protein) analysis	14	14	$14.00	$6.23
82570 Creatinine level to test for kidney function or muscle injury	14	14	$31.00	$5.18
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	11	11	$100.00	$38.17
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	11	11	$100.00	$38.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	118	$226.98	$90.33
99213 Established patient office or other outpatient visit, typically 15 minutes	131	90	$145.03	$61.10
83036 Hemoglobin A1C level	47	38	$52.00	$9.68
92228 Imaging of retina with remote review by physician	32	32	$92.00	$28.39
G0008 Administration of influenza virus vaccine	25	24	$27.00	$16.07
90682 Influenza vaccine, quadrivalent derived from recombinant dna	16	15	$121.88	$60.22
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$103.00	$37.61
81003 Automated urinalysis test	11	11	$9.73	$2.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	131	$187.00	$88.87
99213 Established patient office or other outpatient visit, typically 15 minutes	77	56	$123.00	$60.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	12	$24.00	$1.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	39	$262.00	$120.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	19	$69.00	$13.37
G0008 Administration of influenza virus vaccine	42	42	$27.00	$15.79
36415 Insertion of needle into vein for collection of blood sample	30	26	$11.00	$2.94
90682 Influenza vaccine, quadrivalent derived from recombinant dna	28	28	$118.00	$54.89
81003 Automated urinalysis test	21	16	$9.00	$2.44
G0009 Administration of pneumococcal vaccine	16	16	$27.00	$14.80
83036 Hemoglobin A1C level	16	12	$52.00	$10.57
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$40.00	$17.41
99497 Advance care planning, first 30 minutes	13	13	$222.00	$70.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	123	$182.00	$87.71
36415 Insertion of needle into vein for collection of blood sample	152	88	$11.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	75	55	$119.00	$59.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	14	$23.00	$1.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	23	$71.00	$16.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$271.00	$94.75
G0008 Administration of influenza virus vaccine	32	32	$26.00	$19.38
G0444 Annual depression screening, 5 to 15 minutes	32	32	$45.00	$14.53
G0009 Administration of pneumococcal vaccine	24	24	$26.00	$19.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$254.00	$118.35
81003 Automated urinalysis test	20	14	$8.00	$2.71
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$40.00	$18.65
90670 Pneumococcal vaccine for injection into muscle	13	13	$340.00	$194.43
90662 Influenza vaccine split virus, preservative free	12	12	$79.00	$52.30
99497 Advance care planning, first 30 minutes	11	11	$222.00	$69.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	129	$182.00	$87.36
99213 Established patient office or other outpatient visit, typically 15 minutes	195	106	$119.00	$59.24
36415 Insertion of needle into vein for collection of blood sample	138	90	$11.00	$2.94
G0444 Annual depression screening, 5 to 15 minutes	54	54	$45.00	$14.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$271.00	$93.79
G0008 Administration of influenza virus vaccine	34	34	$26.00	$23.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	14	$71.00	$20.12
81003 Automated urinalysis test	25	18	$8.00	$3.02
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	21	$40.00	$18.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$289.00	$133.28
G0009 Administration of pneumococcal vaccine	14	14	$26.00	$23.92

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5004260

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1871739367 (NC)

Hospital & Practice Group Affiliations

Impact Healthcare, P.a.

1057 D Cedar Point Blvd, Cedar Point, NC 285848020

Phone: 9194964976

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 02, 2018

Registered at 517 MAIN AVE W, HILDEBRAN, NC 286378312 (Tel: 8285805561)

📍

Updated Business Mailing Address April 02, 2018

Registered at 517 MAIN AVE W, HILDEBRAN, NC 286378312 (Tel: 8285805561)

✅

NPI Profile Active January 05, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2009

Registered at 1217 DAVIE AVE, STATESVILLE, NC 286773511 (Tel: 7048726343)

📍

Updated Business Mailing Address January 05, 2009

Registered at PO BOX 1845, STATESVILLE, NC 286871845 (Tel: 7048734277)

👤

Provider Name / Credentials Updated January 05, 2009

Recorded as SANDRA WILUSZ, FNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2009

Nurse Practitioner (License #5004260 in NC)

🟢

Initial NPI Registration & Enumeration January 05, 2009

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: 1871739367

Entity Type:

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

Enumeration Date: January 05, 2009

Last Update: April 02, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

517 Main Ave W

Hildebran, NC 286378312

Phone: 8285805561

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.