COURTNEY THACKER MCKILLOP FNP-C
NPI 1134939689
Nurse Practitioner - Primary Care in Kernersville, NC

Q: What is Courtney Mckillop's NPI number?

The NPI number for Courtney Mckillop is 1134939689. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Q: What is Courtney Mckillop's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Mckillop was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since January 08, 2025PECOS EnrolledAccepts Medicare Assignment

490 PINEVIEW DR STE A, KERNERSVILLE, NC 27284(336) 992-2340(336) 992-2350 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 17, 2025, Jan 8, 2025 (2 updates tracked since 2025).

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About Courtney Thacker Mckillop Fnp-c NPPES

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

COURTNEY THACKER MCKILLOP FNP-C (NPI 1134939689) is an individual primary care provider in Kernersville, North Carolina, licensed in North Carolina (5021509) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1134939689

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameCOURTNEY THACKER MCKILLOPCredential: FNP-C

Location Address490 PINEVIEW DR STE AKernersville, NC 27284-3995

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 992-2340 · Fax (336) 992-2350

Phone(336) 992-2340

Fax(336) 992-2350

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 8, 2025

Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1134939689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NC · 5021509

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5021509 (NC)

490 PINEVIEW DR STE A, Kernersville, NC 27284

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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

Courtney Thacker Mckillop 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 ID9739600941

PECOS Enrollment IDI20250304003060

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.

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 27284 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 4

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

NOVANT HEALTH MEDICAL GROUP, LLC

Family Medicine

490 PINEVIEW DR STE A
KERNERSVILLE, NC 27284

Forsyth County (336) 992-2340

MICHELLE LYNN WORLEY PA-C

Physician Assistant

490 PINEVIEW DR STE A
KERNERSVILLE, NC 27284

Forsyth County (336) 992-2340

MRS. ALLISON HOLT BLANKENSHIP

Nurse Practitioner

490 PINEVIEW DR STE A
KERNERSVILLE, NC 27284

Forsyth County (336) 992-2340

MRS. BROOKE ANN FALSTREAU AGNP-C, DNP

Nurse Practitioner

490 PINEVIEW DR STE A
KERNERSVILLE, NC 27284

Forsyth County (336) 992-2340

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 Courtney Mckillop's NPI number?

The NPI number for Courtney Mckillop is 1134939689. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Courtney Mckillop located?

Courtney Mckillop practices at 490 Pineview Dr Ste A, Kernersville, NC 27284. The listed phone number is (336) 992-2340.

What is Courtney Mckillop's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Courtney Mckillop enrolled in Medicare?

Yes. Courtney Mckillop 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 Courtney Mckillop accept?

Health plans from Blue Cross and Blue Shield of NC list Courtney Mckillop 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 Courtney Mckillop affiliated with any hospitals?

According to CMS data, Courtney Mckillop is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Courtney Mckillop was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.