COURTNEY HALDEMAN GRANADERO AGNP
NPI 1154996221
Nurse Practitioner in Winston Salem, NC
About Courtney Haldeman Granadero Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY HALDEMAN GRANADERO AGNP (NPI 1154996221) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5014442) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2021).
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
Courtney Haldeman Granadero Agnp 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 Reassignments
3Medicare enrollment records show Courtney Granadero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winston-salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 25 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 79 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.
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, NCPhysician 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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
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 Granadero's NPI number?
The NPI number for Courtney Granadero is 1154996221. It was assigned to this individual provider in the NPPES registry on May 21, 2021.
Where is Courtney Granadero located?
Courtney Granadero practices at 3001 Lyndhurst Ave, Winston Salem, NC 27103. The listed phone number is (336) 970-3244.
What is Courtney Granadero's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Courtney Granadero enrolled in Medicare?
Yes. Courtney Granadero 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 organizations bill Medicare for Courtney Granadero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Granadero reassigns Medicare benefits to 3 organizations: Spectrum Medical Group PA (Winston-salem, NC), Novant Health Medical Group, LLC (Winston Salem, NC) and Triad Radiology Associates PLLC (Winston Salem, NC). Each 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 Courtney Granadero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Granadero accept?
Health plans from Cigna Healthcare and UnitedHealthcare list Courtney Granadero 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 Granadero affiliated with any hospitals?
According to CMS data, Courtney Granadero is affiliated with Novant Health Forsyth Medical Center.
When was this NPI record last updated?
The NPPES record for Courtney Granadero was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Courtney Haldeman Granadero, AGNP · NPI 1154996221
Nurse Practitioner physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since May 21, 2021.
## Identity
- **NPI:** 1154996221 (Entity type: Individual)
- **Enumerated:** May 21, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5014442 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3001 LYNDHURST AVE, Winston Salem, NC 27103-4007
- **Phone:** (336) 970-3244
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Spectrum Medical Group PA (NPI 1801878632, Winston-salem, NC); Novant Health Medical Group, LLC (NPI 1114250354, Winston Salem, NC); Triad Radiology Associates PLLC (NPI 1659485001, Winston Salem, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154996221) · Data from the CMS NPPES public registry.