DORALIS GONZALEZ PELEGRIN NP
NPI 1992664684
Nurse Practitioner in Winston Salem, NC

Q: What is Doralis Gonzalez Pelegrin's NPI number?

The NPI number for Doralis Gonzalez Pelegrin is 1992664684. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Q: What is Doralis Gonzalez Pelegrin's specialty?

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

Active since January 19, 2026PECOS EnrolledAccepts Medicare Assignment

5093 UNIVERSITY PKWY, WINSTON SALEM, NC 27106(336) 883-0029(336) 883-0867 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Doralis Gonzalez Pelegrin Np NPPES

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

DORALIS GONZALEZ PELEGRIN NP (NPI 1992664684) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5023974) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992664684

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDORALIS GONZALEZ PELEGRINCredential: NP

Location Address5093 UNIVERSITY PKWYWinston Salem, NC 27106-6085

Mailing Address645 N Main StHigh Point, NC 27260-5017 · (336) 883-0029 · Fax (336) 883-0867

Phone(336) 883-0029

Fax(336) 883-0867

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 19, 2026

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1992664684 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 · 5023974

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.

5093 UNIVERSITY PKWY, Winston Salem, NC 27106

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.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

Doralis Gonzalez Pelegrin Np 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 ID2769963842

PECOS Enrollment IDI20260226001475

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 Doralis Gonzalez Pelegrin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bethany Medical Center

Same address

Family Medicine

5093 UNIVERSITY PKWY
Winston Salem, NC 27106

Reassigned Medicare billing, North Carolina enrollment
69 clinicians in this Medicare group

NPI 1710453550 (336) 883-0029

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 27106 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 8

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

CODY ADAM MYRICK PA-C

Physician Assistant