Provider networks in North Carolina.
InPlan holds provider listings for more than 150 marketplace (ACA) and Medicare Advantage plans that serve North Carolina. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.
- MARKETPLACE PLANS
- 89
- MEDICARE ADVANTAGE PLANS
- 68
- INSURERS AND PLAN ORGANIZATIONS
- 10
- LATEST READ
- 2026-10-29
What we hold in North Carolina.
Plans whose provider directories list providers in our data. Together the marketplace plans hold more than 11 million provider-plan links.
| MARKET | PLANS | INSURERS | PLAN YEARS | LATEST READ |
|---|---|---|---|---|
| Marketplace (ACA) | 89 | 5 | 2026 | 2026-10-29 |
| Medicare Advantage | 68 | 5 | 2027 | 2026-10-29 |
How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.
Insurers in North Carolina.
Plans with provider listings for each insurer or plan organization, as they publish their names. A Medicare Advantage plan counts in every state it serves.
| INSURER | MARKET | PLANS |
|---|---|---|
| Ambetter Health | Marketplace (ACA) | 29 |
| Oscar Health | Marketplace (ACA) | 22 |
| Cigna Healthcare | Marketplace (ACA) | 17 |
| UnitedHealthcare | Marketplace (ACA) | 13 |
| AmeriHealth Caritas Next | Marketplace (ACA) | 8 |
| Devoted Health | Medicare Advantage | 37 |
| Blue Cross and Blue Shield of North Carolina | Medicare Advantage | 14 |
| HealthSpring | Medicare Advantage | 13 |
| NHC Advantage | Medicare Advantage | 2 |
| PruittHealth Premier | Medicare Advantage | 2 |
Who the Medicare Advantage directories list.
More than 61,000 providers who practise in North Carolina appear in the Medicare Advantage plans we hold. The most common primary specialties among them:
- Nurse Practitioner9,996
- Physician Assistant7,496
- Clinical Social Worker4,173
- Family Practice3,416
- Mental Health Counselor3,028
- Physical Therapist in Private Practice2,929
- Internal Medicine2,750
- Dentist2,561
Specialties as the national provider registries record them. A provider counts once per specialty.
Example plans in North Carolina.
Plans with the most provider-plan links, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.
| PLAN | PLAN ID | YEAR | TYPE | PROVIDER-PLAN LINKS |
|---|---|---|---|---|
| HealthSpring True Choice (PPO)HealthSpring | H7849-113-001 | 2027 | Medicare AdvantagePPO | 373,995 |
| Bronze Elite + PCP Saver PlusOscar Health Plan of North Carolina, Inc | 69803NC0010005 | 2026 | Marketplace (ACA)Expanded Bronze · HMO | 241,460 |
| NHC Advantage (HMO I-SNP)NHC Advantage | H4172-001-000 | 2027 | Medicare AdvantageHMO I-SNP · Special Needs Plan | 33,032 |
| HealthSpring True Choice (PPO)HealthSpring | H7849-113-003 | 2027 | Medicare AdvantagePPO | 373,995 |
| Bronze Classic 4700Oscar Health Plan of North Carolina, Inc | 69803NC0010024 | 2026 | Marketplace (ACA)Expanded Bronze · HMO | 241,460 |
A real North Carolina answer.
Mary M. Barine, LPC, who practises in Wake Forest, is listed in 69803NC0010005. This is the answer the API gives today for that pair, with its source type and the date we read the listing.
curl -H "Authorization: Bearer $INPLAN_KEY" \ "https://api.inplan.io/v1/check?npi=1003003039&plan_id=69803NC0010005"
{
"npi": "1003003039",
"plan_id": "69803NC0010005",
"market": "aca",
"in_network": true,
"answer": "listed",
"plan_year": 2026,
"source": { "type": "insurer_directory", "as_of": "2026-10-29" }
}Mary M. Barine, LPC
Mental Health Counselor · Wake Forest, NC
Listed
- PLAN
- Bronze Elite + PCP Saver Plus
- INSURER
- Oscar Health Plan of North Carolina, Inc
- MARKET
- Marketplace (ACA), plan year 2026
- PLAN TYPE
- Expanded Bronze · HMO
- NETWORK TIER
- PREFERRED
- SOURCE
- insurer_directory · read 2026-10-29
Every North Carolina provider, with every plan that lists them.
The North Carolina data file is one CSV: one row for each provider and plan pair, for every provider practising in North Carolina, with the source type and read date on each row.
Check North Carolina providers in your own product.
Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.
Other states
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Puerto Rico
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Figures counted 2026-10-30. Sources: provider directories published by insurers and plans; public plan and provider registries. InPlan is independent and not affiliated with any insurer named here.