KELLIE PRESLAR KOONTZ NP
NPI 1255989943
Nurse Practitioner in Winston Salem, NC
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Kellie Koontz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 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.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCPhysician 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.
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 27101
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
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.
Which organization bills Medicare for Kellie Koontz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Koontz reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, NC). The 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 Kellie Koontz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellie Koontz accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 1 other insurer 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.
# Kellie Preslar Koontz, NP · NPI 1255989943
Nurse Practitioner physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since August 27, 2019.
## Identity
- **NPI:** 1255989943 (Entity type: Individual)
- **Enumerated:** August 27, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5012173 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N MARTIN LUTHER KING JR DR, Winston Salem, NC 27101-3006
- **Phone:** (336) 713-9800 · **Fax:** (336) 713-9641
## 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:** Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255989943) · Data from the CMS NPPES public registry.