Individual provider Active NPI

Nichole Ann Rahenkamp, NP

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1689260499
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013978 Issued in NC
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

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331000992 NC Practitioner - Nurse Practitioner 3476960832 Reassigns benefits to 3 organizations

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
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Novant Health Thomasville Medical Center LLCGroup PAC ID 5890605224, 101 clinicians

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 Hospital, Winston-Salem, NC, CCN 340014
  • Novant Health Medical Park Hospital Hospital, Winston-Salem, NC, CCN 340148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12200448NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 16, 2022 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince May 29, 2025 Accepting new patients
Novant Health Thomasville Medical Center, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince May 29, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 16, 2022 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince May 29, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.