AYAKO NITANI ALLEN FNP
NPI 1194490425
Nurse Practitioner in Winston Salem, NC

Active since August 10, 2021PECOS EnrolledAccepts Medicare Assignment
4937 OLD COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 718-4510 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 26, 2025, Aug 10, 2021 (2 updates tracked since 2021).

About Ayako Nitani Allen Fnp NPPES

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

AYAKO NITANI ALLEN FNP (NPI 1194490425) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5014934) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1194490425
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAYAKO NITANI ALLENCredential: FNP
Location Address4937 OLD COUNTRY CLUB RDWinston Salem, NC 27104-5071
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 718-4510
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 10, 2021
Last NPPES UpdateDecember 26, 20252 updates tracked since enumeration
NPPES CertifiedDecember 26, 2025
NPI 1194490425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5014934
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F07210277 (NC)
4937 OLD COUNTRY CLUB RD, Winston Salem, NC 27104

Secondary Practice Location 1

Location 11830 S Hawthorne RdWinston Salem, NC 27103-4014 · Phone (336) 448-2427

Accepted 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

Ayako Nitani Allen Fnp 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 ID5395133672
PECOS Enrollment IDI20211020000554
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
406 services158 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
195 services54 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
179 services79 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
126 services64 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
67 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients

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 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 9

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

Nurse Practitioner
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Internal Medicine
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Nurse Practitioner
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Internal Medicine
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Internal Medicine
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Physician Assistant
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Student in an Organized Health Care Education/Training Program
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Nurse Practitioner
4937 OLD COUNTRY CLUB RD
WINSTON SALEM, NC 27104

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 Ayako Allen's NPI number?

The NPI number for Ayako Allen is 1194490425. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Ayako Allen located?

Ayako Allen practices at 4937 Old Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 718-4510.

What is Ayako Allen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ayako Allen enrolled in Medicare?

Yes. Ayako Allen 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 Ayako Allen accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Ayako Allen 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 Ayako Allen affiliated with any hospitals?

According to CMS data, Ayako Allen is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Ayako Allen was last updated on December 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.