Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

April Sue Hager

Nurse Practitioner - Family • Andrews, NC

Active NPI 1992348601 Individual Practitioner Female Practitioner
Practice location in NPPES

2751 Us-19 Bus
Andrews, NC 28901

Call 8283214510 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2751 Us-19 Bus

Andrews, NC 28901

Telephone 8283214510
Organization at the Same NPPES Address or Phone
Andrews Internal Medicine Pa Facility NPI 1659309391

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

91 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $18,810 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $15,064 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

259 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,067 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $43.57 across 2 records.

By nature of payment

  • Food and Beverage: $43.57 across 2 records.

Reporting-company totals

  • Organogenesis Inc.: $24.09 across 1 record.
  • Integra LifeSciences Corporation: $19.48 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

April Hager has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists April Hager as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Andrews and North Carolina

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Nurse Practitioner - Family in North Carolina (2024, 2,937 clinicians with data). Median for this group: 265. Middle half: 96 to 626.

Too few clinicians listed under Nurse Practitioner - Family in Andrews have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Nurse Practitioner - Family in North Carolina (2024, 2,937 clinicians with data). Median for this group: $18,886. Middle half: $6,961 to $39,889.

Too few clinicians listed under Nurse Practitioner - Family in Andrews have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Nurse Practitioner - Family in North Carolina (2024, 2,937 clinicians with data). Median for this group: $13,699. Middle half: $5,072 to $29,645.

Too few clinicians listed under Nurse Practitioner - Family in Andrews have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner - Family in North Carolina (2024, 3,460 clinicians with data). Median for this group: 542. Middle half: 132 to 2,067.

Too few clinicians listed under Nurse Practitioner - Family in Andrews have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Nurse Practitioner - Family in North Carolina (2024, 3,460 clinicians with data). Median for this group: $30,036. Middle half: $1,827 to $193,594.

Too few clinicians listed under Nurse Practitioner - Family in Andrews have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Nurse Practitioner - Family with a practice address in Andrews, NC (6,636 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $43.57.

Manufacturer Payment Nature Product Type Amount ($)
Organogenesis Inc.
Food and Beverage
In-kind items and services
APLIGRAF General $24.09
Integra LifeSciences Corporation
Food and Beverage
In-kind items and services
TCC-EZ General $19.48

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
230 60 $134.00 $54.21
97597 Removal of tissue from wound, 20.0 sq cm or less
108 35 $147.00 $29.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
29 19 $199.00 $80.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $199.00 $67.18

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Doxycycline Hyclate Doxycycline Hyclate 57 560 $545.22 48
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 36 369 $309.95 27
Doxycycline Monohydrate Doxycycline Monohydrate 34 334 $504.69 26
Cephalexin Cephalexin 32 243 $180.89 27
Zolpidem Tartrate Zolpidem Tartrate 24 720 $258.54 —
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 20 142 $78.22 17
Methylprednisolone Methylprednisolone 17 102 $99.05 17
Prednisone Prednisone 14 115 $26.18 13
Fluticasone Propionate Fluticasone Propionate 12 750 $64.44 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-12
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES NC TURN-5Y60EJ
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Carolina Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20200225000438

Enrollment State Jurisdiction

NC

PECOS Control ID

6103253596

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
NPI 1326081571

Doctor of Medicine (M.D.)

Joseph Mariano , PA-C

Physician Assistant

NPI 1962267310

Physician Assistant (Certified)

Grace Metzger

Nurse Practitioner

NPI 1558953422
NPI 1285073536

Doctor of Osteopathic Medicine (D.O.)

Gary Roper , GARY ROPER

Internal Medicine

NPI 1154364388

GARYROPER

Dr. Matthew Snead , DO

Internal Medicine

NPI 1366836124

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Business Mailing Address November 12, 2025

Registered at 3990 E US 64 ALT, MURPHY, NC 289066843 (Tel: 8288377166)

👤
Provider Name / Credentials Updated November 12, 2025

Recorded as APRIL HAGER

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NPI Profile Active October 25, 2019

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 25, 2019

Registered at 2751 US-19 BUS, ANDREWS, NC 28901 (Tel: 8283214510)

📍
Business Mailing Address (Initial Record) October 25, 2019

Registered at 2751 US-19 BUS, ANDREWS, NC 28901

👤
Provider Name / Credentials (Initial Record) October 25, 2019

Recorded as APRIL TURNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2019

Nurse Practitioner (license number reported to NPPES: NC TURN-5Y60EJ)

🟢
Initial NPI Registration & Enumeration October 25, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992348601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2019
Last Update: November 12, 2025
Sole Proprietor: No

Mailing Address

3990 E Us 64 Alt

Murphy, NC 289066843

Phone: 8288377166

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.