Cameron Stevens Kiker, NP-C
Individual provider Active NPI Nurse Practitioner · Archdale, NC
NPI 1083148282 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1083148282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5009717 (NC)
- Practice address
- 10188 N Main St
Archdale, NC 27263-2906 - Phone
- (336) 802-2070
- NPI assigned
- Apr 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wake Forest Health Network LLC
Practice addresses (Care Compare)
10188 N Main St
Archdale, NC 27263-2906
Phone (336) 802-2070
Hospital & facility affiliations
- North Carolina Baptist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171113003473 | NC | Practitioner - Nurse Practitioner | 5092071779 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009717 | NC | MD | Nurse Practitioner |
| KIKE-BNTP5Y | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network LLC | Current |
Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Wake Forest Health Network, LLC | Current |
Accepting new patients | |
| Wake Forest Health Network LLC | Past | Accepting new patients | |
| Cornerstone Health Care LLC | Past | Accepting new patients |
Locations
10188 N Main St
Archdale, NC 27263
Phone (336) 802-2070
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Interoperability endpoints
- ckiker318478@direct.novanthealth.org
- ckiker2856000@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 251351 | NC | |
| Family Nurse Practitioner | 363LF0000X | KIKE-BNTP5Y | NC | |
| Family Nurse Practitioner | 363LF0000X | 5009717 | NC | |
| Nurse Practitioner | 363L00000X | 5009717 | NC | Yes |
Addresses
Primary practice location
10188 N Main St
Archdale, NC 27263-2906
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Other practice location 1
4937 Old Country Club Rd
Winston Salem, NC 27104-5071
Phone (336) 718-4510
Other practice location 2
1782 Lakefield Drive
Clemmons, NC 27012
Phone (704) 562-1724
Other providers in Archdale, NC
- Chris Jones
- Darryl Jones
- Jene F Jordan
- Garry Ray Kearns
- Ashley Faith Keever
- Tiffani Knight-Lynch
- Anne F. Lake
- Christopher John Lapradd
- Sydney Stroud Lassiter
- Andreana Yvette Leverette
All providers in Archdale, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.