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KELLIE PRESLAR KOONTZ NP
NPI 1255989943
Nurse Practitioner in Winston Salem, NC

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment
1200 N MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27101(336) 713-9800(336) 713-9641 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2023, Oct 26, 2020, Sep 25, 2019 and 1 more (4 updates tracked since 2019).

About Kellie Preslar Koontz Np NPPES

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

KELLIE PRESLAR KOONTZ NP (NPI 1255989943) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5012173) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1255989943
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLIE PRESLAR KOONTZCredential: NP
Location Address1200 N MARTIN LUTHER KING JR DRWinston Salem, NC 27101-3006
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 713-9800 · Fax (336) 713-9641
Phone(336) 713-9800
Fax(336) 713-9641
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 27, 2019
Last NPPES UpdateJanuary 27, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1255989943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5012173
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.
1200 N MARTIN LUTHER KING JR DR, Winston Salem, NC 27101
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Secondary Practice Location 1

Location 1245 Charlois BlvdWinston Salem, NC 27103-1507 · Phone (336) 659-4777 · Fax (336) 659-4798

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Kellie Preslar Koontz Np 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 ID5991036253
PECOS Enrollment IDI20191017001469
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.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27101 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 20

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

PETER NICHOLAS WHITEHURST MD
Student in an Organized Health Care Education/Training Program
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9800
FEBEN GIRMA
Internal Medicine
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9800
DR. ANGELA KIM
Pharmacist
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9677
BRITTANY T HALL L.P.C.
Counselor (Professional)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9639
MS. BILLIE COLE LCSW
Social Worker (Clinical)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9800
SASHA LAWRENCE NP
Nurse Practitioner
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9677
ASHLEY MOODY STALLINGS PHARMD
Pharmacist
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9677
JOSEFINA CAZARES LCSWA
Social Worker (Clinical)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Forsyth County (336) 713-9800

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 Kellie Koontz's NPI number?

The NPI number for Kellie Koontz is 1255989943. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Kellie Koontz located?

Kellie Koontz practices at 1200 N Martin Luther King Jr Dr, Winston Salem, NC 27101. The listed phone number is (336) 713-9800.

What is Kellie Koontz's specialty?

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

Is Kellie Koontz enrolled in Medicare?

Yes. Kellie Koontz 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 Kellie Koontz accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Kellie Koontz 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 Kellie Koontz affiliated with any hospitals?

According to CMS data, Kellie Koontz is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Kellie Koontz was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.