Monica Helton, RN
NPI 1376199497 · Family Nurse Practitioner · Cordele, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Helton, RN is a Family Nurse Practitioner provider in Cordele, GA (NPI 1376199497).
Provider details
- NPI number
- 1376199497
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN275444 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
190 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 66 | $110 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 59 | $78 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 39 | $145 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 26 | $96 |
Typical Medicare-allowed amounts for these services range $78–$145 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 86 | 83 |
| Doxycycline Hyclate | 75 | 74 |
| Azithromycin | 49 | 49 |
| Fluticasone Propionate | 35 | 34 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 29 | 29 |
| Naproxen | 27 | 27 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 22 | 22 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-14
- Last updated
- 2021-09-23
- Certified
- 2021-09-23
Frequently asked questions
- What is Monica Helton's NPI number?
- Monica Helton's National Provider Identifier (NPI) is 1376199497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Helton's specialty?
- Monica Helton is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Monica Helton located?
- Monica Helton's practice location on file with NPPES is 902 N 7th St, Cordele, GA 31015-3234.
- What is Monica Helton's phone number?
- The practice phone number listed in the NPPES registry for Monica Helton is (229) 276-3100.
- Does Monica Helton accept Medicare?
- Monica Helton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Helton's NPI active?
- Yes — Monica Helton's NPI (1376199497) is active in the NPPES registry as of the last update on 2021-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.