Active NPI
Nichole Ann Rahenkamp, NP
- Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5013978
- Practice address
- 1010 Bethesda CT
Winston Salem, NC 27103-3019 - Phone
- (336) 277-8800
- Fax
- (336) 277-8850
- NPI assigned
- Dec 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F12200448 | NC | |
| Nurse Practitioner | 363L00000X | 5013978 | NC | Primary |
Addresses
Primary practice location
1010 Bethesda CT
Winston Salem, NC 27103-3019
Mailing address
PO Box 935983
Atlanta, GA 31193-5983
Phone (336) 277-8800
Other practice location 1
1805 Glenridge Dr
Kernersville, NC 27284-8667
Phone (336) 470-4951
Other practice location 2
2010 Baldwin Ln
Winston Salem, NC 27103-5846
Phone (336) 277-1717
Other practice location 3
1730 Kernersville Medical Pkwy Ste 101
Kernersville, NC 27284-7198
Phone (336) 564-4950
Other names 1
- Nichole Ann Bostick
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nbostick144952@direct.novanthealth.org | ||
| Direct Messaging Address | nbostick144952@direct.novanthealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1908 Caudle Dr
Suite 200
Mount Airy, NC 27030-4322
Phone (336) 783-6935
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5570
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
- Novant Health Medical Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F12200448 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
7210 Village Medical Cir
Ste 225
Clemmons, NC 27012
Phone (336) 245-2100
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
1730 Kernersville Medical Pkwy
Ste 101
Kernersville, NC 27284
Phone (336) 564-4950
1908 Caudle Dr
Ste 200
Mount Airy, NC 27030
Phone (336) 783-6935
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
140 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 245-2100
1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
2010 Baldwin Ln
Winston Salem, NC 27103
Phone (336) 277-1717
Interoperability endpoints
- nbostick144952@direct.novanthealth.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Specialist
- Thomasville, NC
- NPI 1033160205
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Dermatology Physician
- Winston Salem, NC
- NPI 1114649894
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Urology Physician
- Clemmons, NC
- NPI 1629720453
-
- Hematology & Oncology Physician
- Winston Salem, NC
- NPI 1649159609
-
- Hematology & Oncology Physician
- Winston Salem, NC
- NPI 1083338677
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- General Acute Care Hospital
- Winston-Salem, NC
- NPI 1538111828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1689260499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935983",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311935983",
"telephone_number": "336-277-8800",
"fax_number": "336-277-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 BETHESDA CT",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033019",
"telephone_number": "336-277-8800",
"fax_number": "336-277-8850"
}
],
"practiceLocations": [
{
"address_1": "1805 Glenridge Dr",
"address_purpose": "LOCATION",
"city": "Kernersville",
"state": "NC",
"postal_code": "272848667",
"country_code": "US",
"telephone_number": "336-470-4951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2010 Baldwin Ln",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271035846",
"country_code": "US",
"telephone_number": "336-277-1717",
"fax_number": "336-277-1718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1730 Kernersville Medical Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Kernersville",
"state": "NC",
"postal_code": "272847198",
"country_code": "US",
"telephone_number": "336-564-4950",
"fax_number": "336-564-4959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHENKAMP",
"first_name": "NICHOLE",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-15",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "F12200448",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5013978",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nbostick144952@direct.novanthealth.org",
"affiliation": "N",
"address_1": "2010 Baldwin Ln",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271035846",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nbostick144952@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1730 Kernersville Medical Pkwy Ste 101",
"city": "Kernersville",
"state": "NC",
"country_code": "US",
"postal_code": "272847198",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICHOLE",
"last_name": "BOSTICK",
"middle_name": "ANN",
"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 30, 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.