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MONIQUE MITCHELL MUMFORD FNP-C
NPI 1083296867
Nurse Practitioner in Winston Salem, NC

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment
190 KIMEL PARK DR STE 121, WINSTON SALEM, NC 27103(336) 718-7300(336) 718-7309 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2021, Aug 18, 2021, Apr 22, 2021 (3 updates tracked since 2021).

About Monique Mitchell Mumford Fnp-c NPPES

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

MONIQUE MITCHELL MUMFORD FNP-C (NPI 1083296867) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5014372) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1083296867
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMONIQUE MITCHELL MUMFORDCredential: FNP-C
Location Address190 KIMEL PARK DR STE 121Winston Salem, NC 27103-6946
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 287-7022
Phone(336) 718-7300
Fax(336) 718-7309
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 22, 2021
Last NPPES UpdateApril 17, 20233 updates tracked since enumeration
NPPES CertifiedApril 17, 2023
✔ NPI 1083296867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5014372
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F08200879 (NC)
190 KIMEL PARK DR STE 121, Winston Salem, NC 27103
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Secondary Practice Location 1

Location 11630 Billy DrWinston Salem, NC 27107-2378 · Phone (336) 287-7022

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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

Monique Mitchell Mumford Fnp-c 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 ID9133524234
PECOS Enrollment IDI20210827002220
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
195 services140 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
95 services95 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services87 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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.

Other Providers at the Same Location NPPES

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

NOVANT HEALTH MEDICAL GROUP, LLC
Psychiatry & Neurology (Neurology)
190 KIMEL PARK DR STE 121
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7300

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 Monique Mumford's NPI number?

The NPI number for Monique Mumford is 1083296867. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Monique Mumford located?

Monique Mumford practices at 190 Kimel Park Dr Ste 121, Winston Salem, NC 27103. The listed phone number is (336) 718-7300.

What is Monique Mumford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Monique Mumford enrolled in Medicare?

Yes. Monique Mumford 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.

What insurance does Monique Mumford accept?

Health plans from Blue Cross and Blue Shield of NC list Monique Mumford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Monique Mumford affiliated with any hospitals?

According to CMS data, Monique Mumford is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Monique Mumford was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.