KELLEY JO BAJILLAN NP
NPI 1437445962
Nurse Practitioner in High Point, NC
About Kelley Jo Bajillan Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY JO BAJILLAN NP (NPI 1437445962) is an individual nurse practitioner in High Point, North Carolina, licensed in North Carolina (182481) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Kelley Jo Bajillan 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 Reassignments
2Medicare enrollment records show Kelley Bajillan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
High Point, NC 27262
- Reassigned Medicare billing, North Carolina enrollment
- 60 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27265 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIGH POINT, NC 27265
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 Kelley Bajillan's NPI number?
The NPI number for Kelley Bajillan is 1437445962. It was assigned to this individual provider in the NPPES registry on June 23, 2011.
Where is Kelley Bajillan located?
Kelley Bajillan practices at 5826 Samet Dr, High Point, NC 27265. The listed phone number is (336) 878-6540.
What is Kelley Bajillan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelley Bajillan enrolled in Medicare?
Yes. Kelley Bajillan 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 organizations bill Medicare for Kelley Bajillan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Bajillan reassigns Medicare benefits to 2 organizations: Drx High Point, PLLC (High Point, NC) and Wake Forest University Health Sciences (Winston Salem, NC). 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 Kelley Bajillan'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 Kelley Bajillan was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kelley Jo Bajillan, NP · NPI 1437445962
Nurse Practitioner physician in High Point, North Carolina. Individual provider, active in the CMS NPPES registry since June 23, 2011.
## Identity
- **NPI:** 1437445962 (Entity type: Individual)
- **Enumerated:** June 23, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 182481 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 5826 SAMET DR, High Point, NC 27265-3660
- **Phone:** (336) 878-6540 · **Fax:** (336) 878-6541
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Drx High Point, PLLC (NPI 1669701306, High Point, NC); Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** October 4, 2016
- **Other identifiers:** Medicare PIN NC2226B (NC); Medicaid 1437445962 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1437445962) · Data from the CMS NPPES public registry.