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KENNITRISH NICKOLA BRACEY DNP, APRN, AGNP-C
NPI 1295334647
Nurse Practitioner - Primary Care in Greensboro, NC

Active since October 17, 2020PECOS Enrolled
1131 N CHURCH ST, GREENSBORO, NC 27401(972) 881-4688 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2023, Oct 17, 2020 (2 updates tracked since 2020).

About Kennitrish Nickola Bracey Dnp, Aprn, Agnp-c NPPES

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

KENNITRISH NICKOLA BRACEY DNP, APRN, AGNP-C (NPI 1295334647) is an individual primary care provider in Greensboro, North Carolina, licensed in North Carolina (5014047) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1295334647
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKENNITRISH NICKOLA BRACEYCredential: DNP, APRN, AGNP-C
Location Address1131 N CHURCH STGreensboro, NC 27401-1015
Mailing Address1131 N Church StGreensboro, NC 27401-1015 · (336) 456-0429
Phone(972) 881-4688
Sole ProprietorNo
Enumeration DateOctober 17, 2020
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1295334647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NC · 5014047
1131 N CHURCH ST, Greensboro, NC 27401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1705 Sharing TerGreensboro, NC 27405-8670 · Phone (133) 645-6042

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennitrish Nickola Bracey Dnp, Aprn, Agnp-c 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

4

Medicare enrollment records show Kennitrish Bracey reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Horizon Internal Medicine PLLC
13 mi
Internal Medicine
1380 EASTCHESTER DR STE 105
High Point, NC 27265
  • Reassigned Medicare billing, North Carolina enrollment
  • 53 clinicians in this Medicare group
NPI 1033353941 (336) 610-1300
Kinetic Medical Group
247 mi
Family
9544 NEWBRIDGE DR
Potomac, MD 20854
  • Reassigned Medicare billing, North Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1285228585 (703) 485-5689
Theoria Medical
483 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 189 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Physiatry Consultants Of Nc PLLC
595 mi
Physical Medicine & Rehabilitation
9400 MARION AVE
Morton Grove, IL 60053
  • Reassigned Medicare billing, North Carolina enrollment
  • 51 clinicians in this Medicare group
NPI 1437736881 (855) 611-8783

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

Areas of Expertise CMS Part B claims 6

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.

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.
194 services73 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.
160 services55 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
153 services58 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
41 services23 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
36 services34 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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.

HEARTLAND OF GREENSBORO, INC
Skilled Nursing Facility
1131 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (910) 891-9026
MICHAEL BAILEY QUILLEN MD
Family Medicine
1131 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (336) 832-7867
ATIF SHEIKH MAHMOOD MD
Family Medicine
1131 N CHURCH ST
GREENSBORO, NC 27401
Guilford County (336) 832-7867

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 Kennitrish Bracey's NPI number?

The NPI number for Kennitrish Bracey is 1295334647. It was assigned to this individual provider in the NPPES registry on October 17, 2020.

Where is Kennitrish Bracey located?

Kennitrish Bracey practices at 1131 N Church St, Greensboro, NC 27401. The listed phone number is (972) 881-4688.

What is Kennitrish Bracey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kennitrish Bracey enrolled in Medicare?

Yes. Kennitrish Bracey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kennitrish Bracey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kennitrish Bracey reassigns Medicare benefits to 4 organizations: Horizon Internal Medicine PLLC (High Point, NC), Kinetic Medical Group (Potomac, MD), Theoria Medical (Novi, MI) and Physiatry Consultants Of Nc PLLC (Morton Grove, IL). 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 Kennitrish Bracey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kennitrish Bracey was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.