STEPHANIE ALEXANDRIA NICHOLSON FNP
NPI 1861358707
Nurse Practitioner in Winston Salem, NC

Active since January 05, 2026PECOS Enrolled
1200 N MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27101(336) 713-9800 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Alexandria Nicholson Fnp NPPES

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

STEPHANIE ALEXANDRIA NICHOLSON FNP (NPI 1861358707) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5023730) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861358707
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEPHANIE ALEXANDRIA NICHOLSONCredential: FNP
Location Address1200 N MARTIN LUTHER KING JR DRWinston Salem, NC 27101-3006
Mailing Address1200 N Martin Luther King Jr DrWinston Salem, NC 27101-3006 · (336) 713-9800
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 5, 2026
NPPES CertifiedDecember 16, 2025
NPI 1861358707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5023730
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.
1200 N MARTIN LUTHER KING JR DR, Winston Salem, NC 27101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Alexandria Nicholson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062987027
PECOS Enrollment IDI20260407002059
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 20

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

Student in an Organized Health Care Education/Training Program
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Internal Medicine
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Pharmacist
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Counselor (Professional)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Social Worker (Clinical)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Nurse Practitioner
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Pharmacist
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Social Worker (Clinical)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101

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 Stephanie Nicholson's NPI number?

The NPI number for Stephanie Nicholson is 1861358707. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Stephanie Nicholson located?

Stephanie Nicholson practices at 1200 N Martin Luther King Jr Dr, Winston Salem, NC 27101. The listed phone number is (336) 713-9800.

What is Stephanie Nicholson's specialty?

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

Is Stephanie Nicholson enrolled in Medicare?

Yes. Stephanie Nicholson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Nicholson was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.