THEODORE PRINS KISTEMAKER PA-C
NPI 1770523557
Physician Assistant in Winston Salem, NC
About Theodore Prins Kistemaker Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE PRINS KISTEMAKER PA-C (NPI 1770523557) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (103628) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Theodore Prins Kistemaker 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.
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.
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, NCPhysician 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.
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.
WINSTON-SALEM, NC 27103
WINSTON-SALEM, NC 27103
WINSTON-SALEM, NC 27103
WINSTON SALEM, NC 27103
WINSTON-SALEM, NC 27103
WINSTON SALEM, NC 27103
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 Theodore Kistemaker's NPI number?
The NPI number for Theodore Kistemaker is 1770523557. It was assigned to this individual provider in the NPPES registry on June 8, 2006.
Where is Theodore Kistemaker located?
Theodore Kistemaker practices at 3333 Brookview Hills Blvd Ste 207, Winston Salem, NC 27103. The listed phone number is (336) 765-5250.
What is Theodore Kistemaker's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Theodore Kistemaker enrolled in Medicare?
Yes. Theodore Kistemaker 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 Theodore Kistemaker 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 2 other insurers list Theodore Kistemaker 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 Theodore Kistemaker affiliated with any hospitals?
According to CMS data, Theodore Kistemaker is affiliated with North Carolina Baptist Hospital.
When was this NPI record last updated?
The NPPES record for Theodore Kistemaker was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Theodore Prins Kistemaker, PA-C · NPI 1770523557
Physician Assistant physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1770523557 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 103628 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 BROOKVIEW HILLS BLVD, STE 207, Winston Salem, NC 27103-5661
- **Phone:** (336) 765-5250 · **Fax:** (336) 659-0953
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** April 28, 2014
- **Other identifiers:** Medicare PIN 2757939; Medicare UPIN P8477; Medicare PIN P00115135
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Source: [NPI Profile](https://npiprofile.com/npi/1770523557) · Data from the CMS NPPES public registry.