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NICOLE JEAN PRENDERGAST
NPI 1073018081
Emergency Medicine - Sports Medicine in Winston Salem, NC

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: July 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 4, 2023, Aug 31, 2022, Aug 25, 2022 and 1 more (4 updates tracked since 2018).

About Nicole Jean Prendergast NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE JEAN PRENDERGAST (NPI 1073018081) is an individual sports medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2023-01108) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073018081
Entity TypeIndividualFemale
Primary Taxonomy207PS0010X
Provider Legal NameNICOLE JEAN PRENDERGAST
Location AddressMEDICAL CENTER BOULEVARDWinston Salem, NC 27157-0001
Mailing AddressMedical Center BoulevardWinston Salem, NC 27157-0001 · (336) 716-2255
Phone(336) 716-2255
Sole ProprietorNo
Medical School CMSF H Netter, M.d. School Of Med At Quinnipiac UnivGraduated 2018
Enumeration DateMarch 30, 2018
Last NPPES UpdateJuly 4, 20234 updates tracked since enumeration
NPPES CertifiedJuly 4, 2023
✔ NPI 1073018081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in NC · 2023-01108
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 65293 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1900 Welch RdPalo Alto, CA 94304-1805 · Phone (650) 723-9215
Location 23601 The Vanderbilt ClinicNashville, TN 37232-1805 · Phone (615) 322-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Jean Prendergast is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951785096
PECOS Enrollment IDI20230802004195
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
70 services70 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services28 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKITA JAIN MD
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
DR. KYLE EDWARD ROBINSON M.D.
Plastic Surgery
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-6410
WENCHENG LI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
MEDICAL CENTER BOULEVARD, DEPARTMENT OF PATHOLOGY WF SCHOOL OF MEDICINE
WINSTON-SALEM, NC 27157
Forsyth County (336) 716-4311
JOSHUA DALE COX-JONES DO
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4311
RAINER RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-6410
ANGELA SINCLAIR HILBURN CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-2555
DILLON CASEY MD
Emergency Medicine
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4625
MRS. CANDACE BROOKE LOCKLEAR PA-C
Physician Assistant
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-6020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Prendergast's NPI number?

The NPI number for Nicole Prendergast is 1073018081. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Nicole Prendergast located?

Nicole Prendergast practices at Medical Center Boulevard, Winston Salem, NC 27157. The listed phone number is (336) 716-2255.

What is Nicole Prendergast's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Nicole Prendergast enrolled in Medicare?

Yes. Nicole Prendergast is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nicole Prendergast affiliated with any hospitals?

According to CMS data, Nicole Prendergast is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Prendergast was last updated on July 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.