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MICHELLE FAULKNER RD
NPI 1356867162
Dietitian, Registered in Winston Salem, NC

Active since August 15, 2017Accepts Medicare Assignment
4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 713-0501 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Aug 15, 2017 (2 updates tracked since 2017).

About Michelle Faulkner Rd NPPES

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

MICHELLE FAULKNER RD (NPI 1356867162) is an individual dietitian, registered in Winston Salem, North Carolina, licensed in North Carolina (L005243) and active in the NPI registry since August 2017. She maintains a secondary practice location in Greensboro and is a graduate of Other (2008).

NPPES Registry Identity

NPI1356867162
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMICHELLE FAULKNERCredential: RD
Location Address4614 COUNTRY CLUB RDWinston Salem, NC 27104-3520
Mailing Address4614 Country Club RdWinston Salem, NC 27104-3520
Phone(336) 713-0501
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 15, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1356867162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L005243
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4614 COUNTRY CLUB RD, Winston Salem, NC 27104
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Secondary Practice Location 1

Location 13903 N Elm St Ste 101Greensboro, NC 27455-2878 · Phone (336) 716-7502

Accepted Insurance

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

Michelle Faulkner Rd 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 ID4688940026
PECOS Enrollment IDI20171030002296

Medicare Billing Reassignment

Medicare enrollment records show Michelle Faulkner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Forest University Health Sciences
3.5 mi
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1003803032 (336) 716-2255

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 27104 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
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.

DR. TEMPLE V DAY M.D.
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-5122
MRS. STEPHANIE JANE MYERS M.D.
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3787
LYNNEE KAY VAUGHT MD
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3787
DR. MADISON MARIE HINKLE PHD
Psychologist
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-6099
EMILY ADDISON BARDOLPH MD
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3787
JEANINE RIVITUSO KENNEDY R.D., L.D.N.
Dietitian, Registered
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-6099
WILLIAM Y RICE III MD
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-5122
DR. KATY MARTIN-FERNANDEZ PHD
Psychologist (Clinical)
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-6099

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 Michelle Faulkner's NPI number?

The NPI number for Michelle Faulkner is 1356867162. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Michelle Faulkner located?

Michelle Faulkner practices at 4614 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 713-0501.

What is Michelle Faulkner's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Michelle Faulkner enrolled in Medicare?

Yes. Michelle Faulkner 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 Michelle Faulkner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Faulkner 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 Michelle Faulkner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Faulkner accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 3 other insurers list Michelle Faulkner 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.

When was this NPI record last updated?

The NPPES record for Michelle Faulkner was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.