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NICOLE YVETTE WINBUSH MD
NPI 1902991458
Family Medicine in Durham, NC

Active since October 03, 2006PECOS Enrolled
2741 CAMPUS WALK AVE BLDG 500, DURHAM, NC 27705(919) 213-0662 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Jul 5, 2024, Jun 22, 2023 and 2 more (5 updates tracked since 2018).

About Nicole Yvette Winbush Md NPPES

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

NICOLE YVETTE WINBUSH MD (NPI 1902991458) is an individual family medicine provider in Durham, North Carolina, licensed in North Carolina (312299) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2000).

NPPES Registry Identity

NPI1902991458
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE YVETTE WINBUSHCredential: MD
Location Address2741 CAMPUS WALK AVE BLDG 500Durham, NC 27705-8878
Mailing Address106 E Ellerbee StDurham, NC 27704-4228 · (415) 529-8592
Phone(919) 213-0662
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2000
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 17, 20255 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1902991458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 312299✔ Licensed in CA · A78596✔ Licensed in GA · 88691✔ Licensed in MN · 48415
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2741 CAMPUS WALK AVE BLDG 500, Durham, NC 27705
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Other Identifiers 9

Other01-23535MN · Medica - Primary
OtherHP61533MN · Healthpartners
Medicaid43828800WI
Other761T6WIMN · Bcbs
OtherA78596CA · State Medical License
Other01-23535MN · Medica - Choice
Other2436123MN · Araz
Medicaid663943700MN
Other1042337MN · Preferred One

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Yvette Winbush Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618879701
PECOS Enrollment IDI20250519002487
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole Winbush reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southpoint Family Medicine, PLLC
6.4 mi
Family Medicine
1515 W NC HIGHWAY 54 STE 130
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1306378005 (984) 219-3916
Theoria Medical
508 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 189 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Complexcare Medical Group Mid-Atlantic H PLLC
508 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 55 clinicians in this Medicare group
NPI 1275427429 (248) 660-1220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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.

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 Nicole Winbush's NPI number?

The NPI number for Nicole Winbush is 1902991458. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Nicole Winbush located?

Nicole Winbush practices at 2741 Campus Walk Ave Bldg 500, Durham, NC 27705. The listed phone number is (919) 213-0662.

What is Nicole Winbush's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Winbush enrolled in Medicare?

Yes. Nicole Winbush is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Winbush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Winbush reassigns Medicare benefits to 3 organizations: Southpoint Family Medicine, PLLC (Durham, NC), Theoria Medical (Novi, MI) and Complexcare Medical Group Mid-Atlantic H PLLC (Novi, MI). 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 Nicole Winbush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Winbush accept?

Health plans from Cigna Healthcare, Providence Health Plan and UnitedHealthcare list Nicole Winbush 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.

When was this NPI record last updated?

The NPPES record for Nicole Winbush was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.