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MRS. DEVORA RENEE NEELY MSW, P-LCSW
NPI 1750557872
Nurse Practitioner in Winston Salem, NC

Active since May 08, 2008PECOS EnrolledAccepts Medicare Assignment
175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103(336) 718-3550(336) 277-1825 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2023, May 26, 2023 (2 updates tracked since 2023).

About Mrs. Devora Renee Neely Msw, P-lcsw NPPES

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

MRS. DEVORA RENEE NEELY MSW, P-LCSW (NPI 1750557872) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5018075) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750557872
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. DEVORA RENEE NEELYCredential: MSW, P-LCSW
Location Address175 KIMEL PARK DR STE 100Winston Salem, NC 27103-6951
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 718-3550
Fax(336) 277-1825
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 8, 2008
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1750557872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5018075
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License P004420 (NC)
175 KIMEL PARK DR STE 100, Winston Salem, NC 27103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Mrs. Devora Renee Neely Msw, P-lcsw 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 ID4789045386
PECOS Enrollment IDI20230728003329
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

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
$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 20

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

MS. MINDY PARIS FRANCE NCC, LPC
Counselor (Professional)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 277-1800
ERIN TAGGE
Counselor (Mental Health)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
TRESSA ANITA CORBETT LCSW, LCAS
Social Worker (Clinical)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
MRS. MIKALA JONES DILLARD PMHNP-BC
Nurse Practitioner
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
KATHRYN MICHELLE MURRAY LCSW
Social Worker (Clinical)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
ALISON BRIDGES RUSSO LCSW
Social Worker (Clinical)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
COREY LANE GOSNELL PA-C
Physician Assistant
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550
BRIAN ANDREW FARAH M.D.
Psychiatry & Neurology (Psychiatry)
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-3550

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 Devora Neely's NPI number?

The NPI number for Devora Neely is 1750557872. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Where is Devora Neely located?

Devora Neely practices at 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 718-3550.

What is Devora Neely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Devora Neely enrolled in Medicare?

Yes. Devora Neely 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 Devora Neely accept?

Health plans from Blue Cross and Blue Shield of NC list Devora Neely 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 Devora Neely affiliated with any hospitals?

According to CMS data, Devora Neely is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Devora Neely was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.