1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. NINA MARIELLE VIDEAU MD
NPI 1114548443
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 27, 2020PECOS Enrolled
1 MEDICAL CENTER BLVD SURGERY CLINIC, WINSTON SALEM, NC 27157(336) 716-0423(336) 716-5537 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nina Marielle Videau Md NPPES

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

DR. NINA MARIELLE VIDEAU MD (NPI 1114548443) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114548443
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. NINA MARIELLE VIDEAUCredential: MD
Location Address1 MEDICAL CENTER BLVD SURGERY CLINICWinston Salem, NC 27157-0001
Mailing Address1 Medical Center Blvd Surgery ClinicWinston Salem, NC 27157-3686 · (336) 716-0423 · Fax (336) 716-5537
Phone(336) 716-0423
Fax(336) 716-5537
Sole ProprietorNo
Enumeration DateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1114548443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MEDICAL CENTER BLVD SURGERY CLINIC, Winston Salem, NC 27157
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nina Marielle Videau Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Nina Videau's NPI number?

The NPI number for Nina Videau is 1114548443. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Where is Nina Videau located?

Nina Videau practices at 1 Medical Center Blvd Surgery Clinic, Winston Salem, NC 27157. The listed phone number is (336) 716-0423.

What is Nina Videau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nina Videau enrolled in Medicare?

Yes. Nina Videau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nina Videau was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.