NICOLE DOMINIQUE CALHOUN
NPI 1306481114
Nurse Practitioner - Family in Winston Salem, NC

Active since November 15, 2019PECOS Enrolled
4231 SALEM SPRINGS CT, WINSTON SALEM, NC 27107(704) 860-2566 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Dominique Calhoun NPPES

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

NICOLE DOMINIQUE CALHOUN (NPI 1306481114) is an individual family provider in Winston Salem, North Carolina, licensed in North Carolina (256399) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306481114
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE DOMINIQUE CALHOUN
Location Address4231 SALEM SPRINGS CTWinston Salem, NC 27107-6550
Mailing Address4231 Salem Springs CtWinston Salem, NC 27107-6550 · (704) 860-2566
Sole ProprietorNo
Enumeration DateNovember 15, 2019
✔ NPI 1306481114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 256399
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License 256399 (NC)
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License 256399 (NC)
4231 SALEM SPRINGS CT, Winston Salem, NC 27107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Dominique Calhoun 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

6

Medicare enrollment records show Nicole Calhoun reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
635 STATESVILLE BLVD
Salisbury, NC 28144
  • Reassigned Medicare billing, North Carolina enrollment
  • 18 clinicians in this Medicare group
Primary Care
635 STATESVILLE BLVD
Salisbury, NC 28144
  • Reassigned Medicare billing, North Carolina enrollment
  • 26 clinicians in this Medicare group
General Practice
324 KING GEORGE AVE SW
Roanoke, VA 24016
  • Reassigned Medicare billing, Virginia enrollment
  • 28 clinicians in this Medicare group
General Practice
115 N COUNTRY CLUB RD
Brevard, NC 28712
  • Reassigned Medicare billing, North Carolina enrollment
  • 32 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Virginia enrollment
  • 501 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Maryland and North Carolina enrollments
  • 227 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27107 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.

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 Nicole Calhoun's NPI number?

The NPI number for Nicole Calhoun is 1306481114. It was assigned to this individual provider in the NPPES registry on November 15, 2019.

Where is Nicole Calhoun located?

Nicole Calhoun practices at 4231 Salem Springs Ct, Winston Salem, NC 27107. The listed phone number is (704) 860-2566.

What is Nicole Calhoun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Calhoun enrolled in Medicare?

Yes. Nicole Calhoun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Calhoun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Calhoun reassigns Medicare benefits to 6 organizations: Longevity Accountable Care, PA (Salisbury, NC), Longevity Clinical Ltc Associates Of North Carolina PLLC (Salisbury, NC), Integrated Wound Care Virginia PLLC (Roanoke, VA), Integrated Wound Care North Carolina PLLC (Brevard, NC), Signify Health, LLC (Dallas, TX) and 1 more organization, listed in the Medicare section above. 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 Nicole Calhoun'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 Nicole Calhoun was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.