Nancy Irene Faller, DO

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

9401402 Issued in NC

Practice address

145 Kimel Park Dr
Suite 330
Winston Salem, NC 27103-6984

Phone

(336) 765-6181

Fax

(336) 765-8492

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Spine and Pain Specialists PCGroup PAC ID 2860543097, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nancy.faller@wsps.eclinicaldirectplus.com

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.

• Wake Spine & Pain Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Cary, NC
  • NPI 1568696748
  Medicare reassignment Care Compare group NPD
• Advanced Interventional Pain Management, PA

  • Pain Medicine (Anesthesiology) Physician
  • Winston Salem, NC
  • NPI 1982669339
  NPD
• Wake Spine and Pain Specialists, PC

  • Pain Medicine (Anesthesiology) Physician
  • Winston Salem, NC
  • NPI 1376287714
  NPD
• Carolinas Pain Institute, PA

  • Interventional Pain Medicine Physician
  • Asheboro, NC
  • NPI 1942547120
  NPD (past)
• Piedmont Community Physicians PC

  • Phlebology Physician
  • Winston Salem, NC
  • NPI 1972915510
  NPD (past)
• Piedmont Triad Anesthesia, PA

  • Anesthesiology Physician
  • Winston-Salem, NC
  • NPI 1467497081
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1811952740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR",
            "address_2": "SUITE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036984",
            "telephone_number": "336-765-6181",
            "fax_number": "336-765-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR",
            "address_2": "SUITE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036984",
            "telephone_number": "336-765-6181",
            "fax_number": "336-765-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLER",
        "first_name": "NANCY",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "9401402",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "9401402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "13736",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931096",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D8837",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "05609128",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfaller159164@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "145 Kimel Park Dr",
            "address_2": "Suite 330",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271036984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faith Seeds Community Reentry Coalition
• Faithful Companion Group Home
• Sally Falahat
• Robert Newton Falge, MD
• Mohammad Kazem Fallahzadeh Abarghouei, M.D.
• Joshua Howard Fallin, LAT, ATC
• Nicole Marie Fama, MD
• Alisha Lynn Famiglietti, PA-C
• Family Behavioral Health, PLLC
• Family Care Health and Wellness Center, Inc.

• Pain Medicine (Anesthesiology) Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.

Verify at the official NPI Registry.