NPPES file of Aug 9, 2026

Vivian Holder Seal, FNP

Family Nurse Practitioner · Mount Airy, NC

Vivian Holder Seal, FNP is a family nurse practitioner with a practice address in Mount Airy, North Carolina, and NPI 1497825657, issued on Nov 8, 2006. Check the license (North Carolina 200456, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1497825657
Name
Vivian Holder Seal
Credential
FNP
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
200456 NC
Self-reported in NPPES; status is on the state search
Practice location
905 Rockford St, Mount Airy, NC 27030
Phone
(336) 648-8200
Enumerated
Nov 8, 2006
Record last updated
Jun 8, 2015 (not updated in 11 years: call before relying on the address or phone)
Fax
(336) 719-0013
Medicaid IDs
343936A NC
343936C NC
Medicare enrollment
Enrolled (PECOS I20111025000250); accepts Medicare assignment
Medical or professional school
University Of North Carolina At Chapel Hill School Of Medicine, 1985
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 905 Rockford St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sandy Hemric-Bryant, NPFamily Nurse Practitioner1205546207
  2. Kelly Key, FNPFamily Nurse Practitioner1932580248
  3. Marie Romero, NPAdult Health Nurse Practitioner1790434405
  4. Amy Snow, FNP-CFamily Nurse Practitioner1821424367

Verify Vivian Holder Seal in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
    Search for license 200456
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the North Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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5.8 times the Medicare Part D claims of the average family nurse practitioner in 2024

7,525 Medicare Part D claims for 637 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims. 45 claims were for opioids.

  1. Vivian Seal7,525
  2. Specialty average1,305

Most prescribed

  1. Levothyroxine Sodium295 claims
  2. Rosuvastatin Calcium248 claims
  3. Losartan Potassium240 claims
  4. Omeprazole236 claims
  5. Atorvastatin Calcium229 claims
  6. Lisinopril204 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

No measured MIPS final score for 2023

CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $613.56

31 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Vivian Seal$613.56
  2. Specialty average$650.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Kriska Health, PLLCMount Airy, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Vivian Holder Seal among 6,631 family nurse practitioner records in North Carolina

Vivian Holder Seal, FNP is one of 6,631 family nurse practitioner records with a practice address in North Carolina. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.

  • NPI issued2006 · 2% of these records are older, 90% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated1985 · median 2019 among the 4,000 with a school on file
  • Record last updated2015 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

27 family nurse practitioner records list a practice address in Mount Airy

They are 27 of the 434 NPPES records with a practice address in Mount Airy, and 6,631 family nurse practitioner records in North Carolina.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Angel Cartagena, NPMount Airy, NC 270301659753671
  2. Charlotte Cassell, FNPMount Airy, NC 270301831269091
  3. Lauren DryMount Airy, NC 270301366827529
  4. Delores Johnson, FNPMount Airy, NC 270301720303043
  5. Kelly Key, FNPMount Airy, NC 270301932580248
  6. Amy Martin, NP-CMount Airy, NC 270301235540089
  7. Kristi Massey, FNP-CMount Airy, NC 270301639585102
  8. Adam McHone, NP-CMount Airy, NC 270301235494287

Common questions

What is Vivian Holder Seal, FNP's NPI number?

Vivian Holder Seal, FNP's National Provider Identifier (NPI) is 1497825657, issued on Nov 8, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Vivian Holder Seal, FNP located?

The NPPES record lists a practice address at 905 Rockford St, Mount Airy, NC, 27030. Phone: (336) 648-8200. Providers update this record themselves, so call before visiting.

How can I verify Vivian Holder Seal, FNP's license?

NPPES lists North Carolina license number 200456, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.

How much does Vivian Holder Seal, FNP prescribe under Medicare Part D?

In 2024, Vivian Holder Seal, FNP had 7,525 Medicare Part D claims for 637 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

What is Vivian Holder Seal, FNP's MIPS final score?

CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.