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: August 16, 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 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

Other Identifiers 2

OtherPENDINGVA · Anthem Blue Cross
Medicaid010253811VA

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

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.

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.

What insurance does Nancy Prothero 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 1 other insurer 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.