JAKE CARLISLE NEARINE
NPI 1992409148
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Q: What is Jake Nearine's NPI number?

The NPI number for Jake Nearine is 1992409148. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Jake Nearine's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Nearine was last updated on May 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 29, 2023PECOS Enrolled

1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-4551(336) 716-9642 Get Directions Write a Review

NPPES record last updated: May 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2023, Mar 29, 2023 (2 updates tracked since 2023).

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About Jake Carlisle Nearine NPPES

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

JAKE CARLISLE NEARINE (NPI 1992409148) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992409148

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJAKE CARLISLE NEARINE

Location Address1 MEDICAL CENTER BLVDWinston Salem, NC 27157-1087

Mailing Address1 Medical Center BlvdWinston Salem, NC 27157-1087 · (336) 716-4551 · Fax (336) 716-9642

Phone(336) 716-4551

Fax(336) 716-9642

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateMay 6, 20232 updates tracked since enumeration

NPPES CertifiedMay 6, 2023

✔ NPI 1992409148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jake Carlisle Nearine 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.

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.

DR. KATHERINE MARIE DAVIS FRANCOIS MD, MPH

Obstetrics & Gynecology

1 MEDICAL CENTER BLVD
WINSTON-SALEM, NC 27157

Forsyth County (336) 716-4039

KELLY KAITLIN ELLIOTT DPM

Student in an Organized Health Care Education/Training Program