MS. WANDA C. KELLYMAN MS, NCC, LCMHC
NPI 1114519451
Counselor - Mental Health in Winston Salem, NC
About Ms. Wanda C. Kellyman Ms, Ncc, Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. WANDA C. KELLYMAN MS, NCC, LCMHC (NPI 1114519451) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (15671) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Wanda C. Kellyman Ms, Ncc, Lcmhc 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.
Medicare Billing Reassignment
Medicare enrollment records show Wanda Kellyman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greensboro, NC 27403
- Reassigned Medicare billing, North Carolina enrollment
- 835 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wanda Kellyman's NPI number?
The NPI number for Wanda Kellyman is 1114519451. It was assigned to this individual provider in the NPPES registry on February 8, 2021.
Where is Wanda Kellyman located?
Wanda Kellyman practices at 313 Water Lily Cir, Winston Salem, NC 27107. The listed phone number is (336) 686-7385.
What is Wanda Kellyman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Wanda Kellyman enrolled in Medicare?
Yes. Wanda Kellyman 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.
Which organization bills Medicare for Wanda Kellyman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Kellyman reassigns Medicare benefits to The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wanda Kellyman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wanda Kellyman accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Wanda Kellyman 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.
When was this NPI record last updated?
The NPPES record for Wanda Kellyman was last updated on June 15, 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.
# Ms. Wanda C. Kellyman, MS, NCC, LCMHC · NPI 1114519451
Mental Health provider in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since February 8, 2021.
## Identity
- **NPI:** 1114519451 (Entity type: Individual)
- **Enumerated:** February 8, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 15671 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 313 WATER LILY CIR, Winston Salem, NC 27107-6048
- **Phone:** (336) 686-7385
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Moses H. Cone Memorial Hospital Operating Corporation (NPI 1013265909, Greensboro, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114519451) · Data from the CMS NPPES public registry.