MRS. KATHERINE BLACKMON HAYMORE CPNP
NPI 1942524418
Nurse Practitioner in King, NC

Q: What is Katherine Haymore's NPI number?

The NPI number for Katherine Haymore is 1942524418. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Q: What is Katherine Haymore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katherine Haymore was last updated on January 28, 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.

Active since March 26, 2010PECOS Enrolled

167 MOORE RD STE 201, KING, NC 27021(336) 673-6470(336) 673-6489 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2022, Oct 25, 2020, May 3, 2019 (3 updates tracked since 2019).

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About Mrs. Katherine Blackmon Haymore Cpnp NPPES

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

MRS. KATHERINE BLACKMON HAYMORE CPNP (NPI 1942524418) is an individual nurse practitioner in King, North Carolina, licensed in North Carolina (5004664) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1942524418

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KATHERINE BLACKMON HAYMORECredential: CPNP

Location Address167 MOORE RD STE 201King, NC 27021-8770

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(336) 673-6470

Fax(336) 673-6489

Sole ProprietorNo

Enumeration DateMarch 26, 2010

Last NPPES UpdateJanuary 28, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2022

✔ NPI 1942524418 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 · 5004664

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.

167 MOORE RD STE 201, King, NC 27021

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Secondary Practice Location 1

Location 11351 Westgate Center DrWinston Salem, NC 27103-2934 · Phone (336) 718-7777 · Fax (336) 718-7744

Other Identifiers 1

Medicaid7005300NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katherine Blackmon Haymore Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Katherine Haymore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC

Same address

Family Medicine

167 MOORE RD STE 206
King, NC 27021

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1245797745 (336) 673-6450

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 27021 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 5

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

JADEN MOORE MIETHE NP

Nurse Practitioner