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KELLIE NEWSOME PMHNP-BC
NPI 1649718180
Nurse Practitioner - Psychiatric/Mental Health in Winston Salem, NC

Active since February 04, 2017PECOS EnrolledAccepts Medicare Assignment
717 S MARSHALL ST STE 204, WINSTON SALEM, NC 27101(336) 739-4379(366) 540-7973 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2025, Aug 14, 2024, Oct 10, 2023 and 2 more (5 updates tracked since 2017).

About Kellie Newsome Pmhnp-bc NPPES

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

KELLIE NEWSOME PMHNP-BC (NPI 1649718180) is an individual psychiatric/mental health provider in Winston Salem, North Carolina, licensed in North Carolina (5012740) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649718180
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLIE NEWSOMECredential: PMHNP-BC
Location Address717 S MARSHALL ST STE 204Winston Salem, NC 27101-5865
Mailing Address717 S Marshall St Ste 204Winston Salem, NC 27101-5865 · (336) 739-4379 · Fax (336) 654-0797
Phone(336) 739-4379
Fax(366) 540-7973
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 4, 2017
Last NPPES UpdateNovember 13, 20255 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1649718180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5012740
717 S MARSHALL ST STE 204, Winston Salem, NC 27101
Open in Google Maps ↗

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

Kellie Newsome Pmhnp-bc 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 ID2062843238
PECOS Enrollment IDI20240612003555
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27101 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLMOOD PLLC
Psychiatry & Neurology (Psychiatry)
717 S MARSHALL ST STE 204
WINSTON SALEM, NC 27101
Forsyth County (336) 739-4379

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 Kellie Newsome's NPI number?

The NPI number for Kellie Newsome is 1649718180. It was assigned to this individual provider in the NPPES registry on February 4, 2017.

Where is Kellie Newsome located?

Kellie Newsome practices at 717 S Marshall St Ste 204, Winston Salem, NC 27101. The listed phone number is (336) 739-4379.

What is Kellie Newsome's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kellie Newsome enrolled in Medicare?

Yes. Kellie Newsome 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 Kellie Newsome accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Kellie Newsome 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 Kellie Newsome was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.