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JENNIFER DIAZ SOBEJANA NP
NPI 1174359392
Nurse Practitioner - Gerontology in Winston Salem, NC

Active since September 12, 2024PECOS Enrolled
50 MILLER ST STE C, WINSTON SALEM, NC 27104(336) 310-5535(336) 310-1183 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Diaz Sobejana Np NPPES

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

JENNIFER DIAZ SOBEJANA NP (NPI 1174359392) is an individual gerontology provider in Winston Salem, North Carolina, licensed in North Carolina (280020) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clemmons.

NPPES Registry Identity

NPI1174359392
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJENNIFER DIAZ SOBEJANACredential: NP
Location Address50 MILLER ST STE CWinston Salem, NC 27104-4206
Mailing AddressPo Box 601843Charlotte, NC 28260-1843 · (336) 310-5535 · Fax (336) 310-1183
Phone(336) 310-5535
Fax(336) 310-1183
Sole ProprietorYes
Enumeration DateSeptember 12, 2024
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1174359392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NC · 280020
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5020862 (NC)
50 MILLER ST STE C, Winston Salem, NC 27104
Open in Google Maps ↗

Secondary Practice Location 1

Location 12311 Lewisville Clemmons RdClemmons, NC 27012-8905 · Phone (336) 713-0400

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Diaz Sobejana Np 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jennifer Sobejana reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Forest University Health Sciences
0.4 mi
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1003803032 (336) 716-2255
Carolina Medicorp Enterprises, LLC
25 mi
Urgent Care
2635 LAWNDALE DR
Greensboro, NC 27408
  • Reassigned Medicare billing, North Carolina enrollment
  • 117 clinicians in this Medicare group
NPI 1508741067 (336) 867-4310
Liberty Medical Care Services, LLC
151 mi
Nurse Practitioner
44 MCNEILL PLZ
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 34 clinicians in this Medicare group
NPI 1174920300 (910) 642-0224

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 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 3

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

BHUPINDER SINGH MULTANI FNP
Nurse Practitioner
50 MILLER ST STE C
WINSTON SALEM, NC 27104
Forsyth County (336) 310-5535
MR. WON GIN JACKSON BOWMAN PA-C
Physician Assistant
50 MILLER ST STE C
WINSTON SALEM, NC 27104
Forsyth County (336) 310-5535
RACHEL ANN MCEATHRON PA-C
Physician Assistant
50 MILLER ST STE C
WINSTON SALEM, NC 27104
Forsyth County (336) 310-5535

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 Jennifer Sobejana's NPI number?

The NPI number for Jennifer Sobejana is 1174359392. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Jennifer Sobejana located?

Jennifer Sobejana practices at 50 Miller St Ste C, Winston Salem, NC 27104. The listed phone number is (336) 310-5535.

What is Jennifer Sobejana's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jennifer Sobejana enrolled in Medicare?

Yes. Jennifer Sobejana is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Sobejana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Sobejana reassigns Medicare benefits to 3 organizations: Wake Forest University Health Sciences (Winston Salem, NC), Carolina Medicorp Enterprises, LLC (Greensboro, NC) and Liberty Medical Care Services, LLC (Whiteville, 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 Jennifer Sobejana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Sobejana accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Jennifer Sobejana 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 Jennifer Sobejana was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.