VANESSA RENEE CHURCH NURSE PRACTITIONER
NPI 1235894056
Nurse Practitioner - Gerontology in Pilot Mountain, NC
About Vanessa Renee Church Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VANESSA RENEE CHURCH NURSE PRACTITIONER (NPI 1235894056) is an individual gerontology provider in Pilot Mountain, North Carolina, licensed in North Carolina (5015284) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and maintains a secondary practice location in Winston Salem.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Vanessa Renee Church Nurse Practitioner 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
4Medicare enrollment records show Vanessa Church reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pilot Mountain, NC 27041
- Reassigned Medicare billing, North Carolina enrollment
- 1,202 clinicians in this Medicare group
Mount Airy, NC 27030
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Gastroenterology Associates Of The Piedmont PA
- 24 clinicians in this Medicare group
Mooresville, NC 28115
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Vitae Health Medical North Carolina PLLC
- 121 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Regional Hospital
Acute Care Hospitals · Mount Airy, NCNovant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vanessa Church's NPI number?
The NPI number for Vanessa Church is 1235894056. It was assigned to this individual provider in the NPPES registry on November 5, 2021.
Where is Vanessa Church located?
Vanessa Church practices at 207 Medical St, Pilot Mountain, NC 27041. The listed phone number is (336) 368-5011.
What is Vanessa Church's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Vanessa Church enrolled in Medicare?
Yes. Vanessa Church 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 Vanessa Church's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Church reassigns Medicare benefits to 4 organizations: Forsyth Memorial Hospital Inc (Pilot Mountain, NC), Novant Health Medical Group, LLC (Mount Airy, NC), Gastroenterology Associates Of The Piedmont, P.A. (Winston Salem, NC) and Telos Health Systems Nc PLLC (Mooresville, 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 Vanessa Church's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vanessa Church accept?
Health plans from Blue Cross and Blue Shield of NC list Vanessa Church 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 Vanessa Church affiliated with any hospitals?
According to CMS data, Vanessa Church is affiliated with Northern Regional Hospital and Novant Health Forsyth Medical Center.
When was this NPI record last updated?
The NPPES record for Vanessa Church was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Vanessa Renee Church, NURSE PRACTITIONER · NPI 1235894056
Gerontology physician in Pilot Mountain, North Carolina. Individual provider, active in the CMS NPPES registry since November 5, 2021.
## Identity
- **NPI:** 1235894056 (Entity type: Individual)
- **Enumerated:** November 5, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 5015284 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 207 MEDICAL ST, Pilot Mountain, NC 27041-8656
- **Phone:** (336) 368-5011 · **Fax:** (336) 368-1424
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Forsyth Memorial Hospital Inc (NPI 1861632788, Pilot Mountain, NC); Novant Health Medical Group, LLC (NPI 1659950053, Mount Airy, NC); Gastroenterology Associates Of The Piedmont, P.A. (NPI 1679687586, Winston Salem, NC); Telos Health Systems Nc PLLC (NPI 1265064414, Mooresville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1235894056) · Data from the CMS NPPES public registry.