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MISS NICOLE LEIGH BEVERLY PA-C
NPI 1457016206
Physician Assistant in Winston Salem, NC

Active since November 06, 2021PECOS EnrolledAccepts Medicare Assignment
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157(336) 716-9253 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2021, Nov 15, 2021, Nov 6, 2021 (3 updates tracked since 2021).

About Miss Nicole Leigh Beverly Pa-c NPPES

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

MISS NICOLE LEIGH BEVERLY PA-C (NPI 1457016206) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-11789) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457016206
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS NICOLE LEIGH BEVERLYCredential: PA-C
Location AddressMEDICAL CENTER BOULEVARDWinston Salem, NC 27157-0001
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 713-5440 · Fax (336) 713-5445
Phone(336) 716-9253
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 6, 2021
Last NPPES UpdateDecember 9, 20213 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1457016206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-11789
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Nicole Leigh Beverly Pa-c 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 ID3375934938
PECOS Enrollment IDI20211215003014
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services13 patients

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, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

NIKITA JAIN MD
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
DR. KYLE EDWARD ROBINSON M.D.
Plastic Surgery
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-6410
WENCHENG LI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
MEDICAL CENTER BOULEVARD, DEPARTMENT OF PATHOLOGY WF SCHOOL OF MEDICINE
WINSTON-SALEM, NC 27157
Forsyth County (336) 716-4311
JOSHUA DALE COX-JONES DO
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4311
RAINER RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-6410
ANGELA SINCLAIR HILBURN CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-2555
DILLON CASEY MD
Emergency Medicine
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4625
MRS. CANDACE BROOKE LOCKLEAR PA-C
Physician Assistant
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-6020

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 Beverly's NPI number?

The NPI number for Nicole Beverly is 1457016206. It was assigned to this individual provider in the NPPES registry on November 6, 2021.

Where is Nicole Beverly located?

Nicole Beverly practices at Medical Center Boulevard, Winston Salem, NC 27157. The listed phone number is (336) 716-9253.

What is Nicole Beverly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Beverly enrolled in Medicare?

Yes. Nicole Beverly 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.

What insurance does Nicole Beverly accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Nicole Beverly 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 Nicole Beverly affiliated with any hospitals?

According to CMS data, Nicole Beverly is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Beverly was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.