KELLYE RAJA TRUESDALE DNP, FNP-C
NPI 1740130418
Obstetrics & Gynecology in Winston Salem, NC

Q: What is Kellye Truesdale's NPI number?

The NPI number for Kellye Truesdale is 1740130418. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Q: What is Kellye Truesdale's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellye Truesdale was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 02, 2026PECOS Enrolled

500 SHEPHERD ST, WINSTON SALEM, NC 27103(336) 716-4039 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kellye Raja Truesdale Dnp, Fnp-c NPPES

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

KELLYE RAJA TRUESDALE DNP, FNP-C (NPI 1740130418) is an individual obstetrics & gynecology provider in Winston Salem, North Carolina, licensed in North Carolina (5023868) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1740130418

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKELLYE RAJA TRUESDALECredential: DNP, FNP-C

Location Address500 SHEPHERD STWinston Salem, NC 27103-1633

Mailing AddressMedical Enter BlvdWinston Salem, NC 27157-0001 · (336) 716-4039 · Fax (336) 768-3497

Phone(336) 716-4039

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 2, 2026

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1740130418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NC · 5023868

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

500 SHEPHERD ST, Winston Salem, NC 27103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellye Raja Truesdale Dnp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830666213

PECOS Enrollment IDI20260422002887

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 27103 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

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.

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