NANCY JEAN PROTHERO CNM
NPI 1922027101
Advanced Practice Midwife in Winston Salem, NC

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 713-4039(336) 716-6937 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2022, Oct 26, 2020, Mar 2, 2016 (3 updates tracked since 2016).

About Nancy Jean Prothero Cnm NPPES

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

NANCY JEAN PROTHERO CNM (NPI 1922027101) is an individual advanced practice midwife in Winston Salem, North Carolina, licensed in North Carolina (656) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greensboro, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1922027101
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameNANCY JEAN PROTHEROCredential: CNM
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-7600
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-4039 · Fax (336) 716-6937
Fax(336) 716-6937
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 19, 2006
Last NPPES UpdateFebruary 1, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1922027101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses✔ Licensed in NC · 656✔ Licensed in VA · 0024166564
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedMidwifeTaxonomy 176B00000X · License 656 (NC)
MEDICAL CENTER BLVD, Winston Salem, NC 27157

Secondary Practice Location 1

Location 13200 Northline Ave Ste 130Greensboro, NC 27408-7600 · Phone (336) 286-6565 · Fax (336) 286-6566

Other Identifiers 2

OtherPENDINGVA · Anthem Blue Cross
Medicaid010253811VA

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

Nancy Jean Prothero Cnm 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 ID1557368768
PECOS Enrollment IDI20171218001601
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

2

Medicare enrollment records show Nancy Prothero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Obstetrics & Gynecology
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Obhg North Carolina PC
  • 196 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

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 Nancy Prothero's NPI number?

The NPI number for Nancy Prothero is 1922027101. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Nancy Prothero located?

Nancy Prothero practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 713-4039.

What is Nancy Prothero's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Nancy Prothero enrolled in Medicare?

Yes. Nancy Prothero 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 Nancy Prothero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Prothero reassigns Medicare benefits to 2 organizations: Wake Forest University Health Sciences (Winston Salem, NC) and Obhg North Carolina, P.C. (Charlotte, NC). 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 Nancy Prothero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Prothero accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Nancy Prothero 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 Nancy Prothero was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.