Individual provider Active NPI

Nicole Weisner Winecoff, CNM

  • Advanced Practice Midwife
  • Statesville, NC
National Provider Identifier
1487932505
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
474 Issued in NC
Practice address
1420 Fern Creek Drive
Statesville, NC 28625
Phone
(704) 380-7322
Fax
(704) 380-3723
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 474 NC Primary

Addresses

Primary practice location

1420 Fern Creek Drive
Statesville, NC 28625

Mailing address

1420 Fern Creek Drive
Statesville, NC 28625
Phone (704) 380-3722

Other identifiers 1

IdentifierTypeStateIssuer
5919173MedicaidNC

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000627 NC Practitioner - Certified Nurse Midwife (CNM) 7416103650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
474NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Beginnings Birth and Wellness Center CurrentSince Jun 5, 2012 Accepting new patients

Locations

1420 Fern Creek Dr
Statesville, NC 28625
Phone (704) 380-3722

Interoperability endpoints

  • Direct secure messaging: naturalbeginnings.nicolewinecoff@132730.advancedmd-direct.com

Organizations & group practices 1

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": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1487932505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 FERN CREEK DRIVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28625",
            "telephone_number": "704-380-3722",
            "fax_number": "704-380-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 FERN CREEK DRIVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28625",
            "telephone_number": "704-380-7322",
            "fax_number": "704-380-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINECOFF",
        "first_name": "NICOLE",
        "middle_name": "WEISNER",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919173",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.