Active NPI
Nikki Elizabeth Yourshaw, M.D., MPH
- Pediatrics Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2025-00521
- Practice address
- 2295 E 14TH St
Winston Salem, NC 27105-6804 - Phone
- (336) 713-8860
- Fax
- (336) 713-8862
- NPI assigned
- Mar 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD451556 | PA | |
| Pediatrics Physician | 208000000X | TL37991 | SC | |
| Pediatrics Physician | 208000000X | 2025-00521 | NC | Primary |
Addresses
Primary practice location
2295 E 14TH St
Winston Salem, NC 27105-6804
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-2255
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-8905
Phone (843) 792-1414
Other names 1
- Nikki Elizabeth Waldstein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-00521 | NC | MD | Pediatrics Physician |
| MD451556 | PA | MD | Pediatrics Physician |
| TL37991 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Pediatrics | Current | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| North Carolina Baptist Hospital | Past | Accepting new patients |
Locations
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
2295 E 14th St
Winston Salem, NC 27105
Phone (336) 716-0888
2295 E 14th St
Ste 200
Winston Salem, NC 27105
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Interoperability endpoints
- nyourshaw2998875@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1013934629
Pediatrics
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1366741993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 E 14TH ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271056804",
"telephone_number": "336-713-8860",
"fax_number": "336-713-8862"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258905",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOURSHAW",
"first_name": "NIKKI",
"middle_name": "ELIZABETH",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD451556",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "TL37991",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2025-00521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIKKI",
"last_name": "WALDSTEIN",
"middle_name": "ELIZABETH",
"credential": "M.D., MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.