NICHOLAS DANE PULLIAM CRNA
NPI 1891171682
Nurse Anesthetist, Certified Registered in Winston Salem, NC
About Nicholas Dane Pulliam Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS DANE PULLIAM CRNA (NPI 1891171682) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in North Carolina (5821) and active in the NPI registry since August 2015. He is affiliated with Novant Health Rowan Medical Center and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicholas Dane Pulliam Crna 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.
Medicare Billing Reassignments
14Medicare enrollment records show Nicholas Pulliam reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winston-salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 119 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 1,202 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 719 clinicians in this Medicare group
Winston-salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 579 clinicians in this Medicare group
Clemmons, NC 27012
- Reassigned Medicare billing, North Carolina enrollment
- 543 clinicians in this Medicare group
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 543 clinicians in this Medicare group
Salisbury, NC 28144
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Novant Health Rowan Medical Center LLC
- 686 clinicians in this Medicare group
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- 926 clinicians in this Medicare group
Huntersville, NC 28078
- Reassigned Medicare billing, North Carolina enrollment
- 545 clinicians in this Medicare group
Charlotte, NC 28262
- Reassigned Medicare billing, North Carolina enrollment
- 1,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Novant Health Rowan Medical Center
Acute Care Hospitals · Salisbury, 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
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 Nicholas Pulliam's NPI number?
The NPI number for Nicholas Pulliam is 1891171682. It was assigned to this individual provider in the NPPES registry on August 4, 2015.
Where is Nicholas Pulliam located?
Nicholas Pulliam practices at 145 Kimel Park Dr Suite 120, Winston Salem, NC 27103. The listed phone number is (336) 768-3212.
What is Nicholas Pulliam's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Nicholas Pulliam enrolled in Medicare?
Yes. Nicholas Pulliam 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.
Which organizations bill Medicare for Nicholas Pulliam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Pulliam reassigns Medicare benefits to 14 organizations: Piedmont Triad Anesthesia, PA (Winston-salem, NC), Forsyth Memorial Hospital, Inc. (Winston Salem, NC), Novant Health Thomasville Medical Center, LLC (Winston Salem, NC), Medical Park Hospital LLC (Winston-salem, NC), Novant Health Clemmons Outpatient Surgery, LLC (Clemmons, NC) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Pulliam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Pulliam accept?
Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Nicholas Pulliam 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 Nicholas Pulliam affiliated with any hospitals?
According to CMS data, Nicholas Pulliam is affiliated with Novant Health Rowan Medical Center.
When was this NPI record last updated?
The NPPES record for Nicholas Pulliam was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Nicholas Dane Pulliam, CRNA · NPI 1891171682
Nurse Anesthetist, Certified Registered physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since August 4, 2015.
## Identity
- **NPI:** 1891171682 (Entity type: Individual)
- **Enumerated:** August 4, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 5821 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 145 KIMEL PARK DR, SUITE 120, Winston Salem, NC 27103-6984
- **Phone:** (336) 768-3212 · **Fax:** (336) 768-9019
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Piedmont Triad Anesthesia, PA (NPI 1467497081, Winston-salem, NC); Forsyth Memorial Hospital, Inc. (NPI 1205558913, Winston Salem, NC); Novant Health Thomasville Medical Center, LLC (NPI 1083338677, Winston Salem, NC); Medical Park Hospital LLC (NPI 1003867516, Winston-salem, NC); Novant Health Clemmons Outpatient Surgery, LLC (NPI 1427697978, Clemmons, NC); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891171682) · Data from the CMS NPPES public registry.