Active NPI
Stephanie Alexandria Nicholson, FNP
- Nurse Practitioner
- Winston Salem, NC
National Provider Identifier
1861358707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5023730
- Practice address
- 1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3006 - Phone
- (336) 713-9800
- NPI assigned
- Jan 5, 2026
- Last updated
- Jan 5, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5023730 | NC | Primary |
Addresses
Primary practice location
1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3006
Mailing address
1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3006
Phone (336) 713-9800
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3006
Phone (336) 713-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5023730 | NC | MD | Nurse Practitioner |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1861358707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N MARTIN LUTHER KING JR DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271013006",
"telephone_number": "336-713-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N MARTIN LUTHER KING JR DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271013006",
"telephone_number": "336-713-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "STEPHANIE",
"middle_name": "ALEXANDRIA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-05",
"last_updated": "2026-01-05",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5023730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 5, 2026; 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.