Individual provider Active NPI

Kayla Morgan Cloninger, FNP

  • Family Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1861298077
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021661 Issued in NC
Practice address
145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972
Phone
(336) 765-6181
Fax
(336) 760-2149
NPI assigned
Feb 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5021661 NC Primary

Addresses

Primary practice location

145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972

Mailing address

145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972
Phone (336) 765-6181

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
I20250427000065 NC Practitioner - Nurse Practitioner 9234655895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Pain Institute, PAGroup PAC ID 0244218550, 6 clinicians

Practice addresses (Care Compare)

145 Kimel Park Dr
Suite 330
Winston Salem, NC 27103-6972
Phone (336) 765-6181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Pain Institute, PA Current Accepting new patients
Carolinas Pain Institute, PA CurrentSince Feb 22, 2025 Accepting new patients
Carolinas Pain Institute, PA Past Accepting new patients

Locations

145 Kimel Park Dr
Ste 330
Winston Salem, NC 27103
Phone (336) 765-6181

Interoperability endpoints

  • Direct secure messaging: kcloninger1681776@direct.novanthealth.org

Organizations & group practices 3

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": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1861298077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR STE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036972",
            "telephone_number": "336-765-6181",
            "fax_number": "336-760-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR STE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036972",
            "telephone_number": "336-765-6181",
            "fax_number": "336-760-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONINGER",
        "first_name": "KAYLA",
        "middle_name": "MORGAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.