Individual provider Active NPI

Nancy Perez, FNP-C

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1376983700
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5006339 Issued in NC
Practice address
1430 Felicity Lane
Winston Salem, NC 27101
Phone
(336) 999-7655
Fax
(336) 999-7660
NPI assigned
Jun 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5006339 NC Primary
Family Nurse Practitioner 363LF0000X 189737 NC
Primary Care Nurse Practitioner 363LP2300X 189737 NC

Addresses

Primary practice location

1430 Felicity Lane
Winston Salem, NC 27101

Mailing address

PO Box 12341
Suite 16-19
Winston Salem, NC 27117-2341
Phone (336) 955-1379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131106001256 NC Practitioner - Nurse Practitioner 2163657792 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

1977 Cotton Grove Rd
Lexington, NC 27292-5721
Phone (336) 443-6041

910 E Innes St
Salisbury, NC 28144-4638
Phone (844) 266-8268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5006339NCMDNurse Practitioner
189737NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Feb 25, 2019 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Oct 23, 2020 Accepting new patients
Arboretum Urgent Care Center CurrentSince Feb 25, 2019 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 25, 2019 Accepting new patients
United Health Center PastSince Apr 27, 2026 Accepting new patients
United Health Centers PastSince Apr 27, 2026 Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1977 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 243-3000

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: nperez78311@direct.novanthealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIBJAD

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1376983700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12341",
            "address_2": "SUITE 16-19",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271172341",
            "telephone_number": "336-955-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 FELICITY LANE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-999-7655",
            "fax_number": "336-999-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "NANCY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006339",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "189737",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "189737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.