Active NPI
Nicole Yvette Winbush, MD
- Family Medicine Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 312299
- Practice address
- 2741 Campus Walk Ave BLDG 500
Durham, NC 27705-8878 - Phone
- (919) 213-0662
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A78596 | CA | |
| Family Medicine Physician | 207Q00000X | 88691 | GA | |
| Family Medicine Physician | 207Q00000X | 48415 | MN | |
| Family Medicine Physician | 207Q00000X | 312299 | NC | Primary |
Addresses
Primary practice location
2741 Campus Walk Ave BLDG 500
Durham, NC 27705-8878
Mailing address
106 E Ellerbee St
Durham, NC 27704-4228
Phone (415) 529-8592
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-23535 | Other | MN | MEDICA - PRIMARY |
| HP61533 | Other | MN | HEALTHPARTNERS |
| 43828800 | Medicaid | WI | |
| 761T6WI | Other | MN | BCBS |
| A78596 | Other | CA | STATE MEDICAL LICENSE |
| 01-23535 | Other | MN | MEDICA - CHOICE |
| 2436123 | Other | MN | ARAZ |
| 663943700 | Medicaid | MN | |
| 1042337 | Other | MN | PREFERRED ONE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Maryland School of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
245 E NC Hwy 54
Suite 205
Durham, NC 27713-2552
Phone (919) 419-0242
303 E Carver St
Durham, NC 27704-2135
Phone (248) 660-1220
Hospital & facility affiliations
- Transitions Lifecare
- University Health and Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78596 | CA | MD | Family Medicine Physician |
| 88691 | GA | MD | Family Medicine Physician |
| 312299 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Mid-Atlantic H PLLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Southwest Durham Family Medicine, PLLC | Family Medicine | Current | Accepting new patients |
| Southpoint Family Medicine, PLLC | Family Medicine | Current | Accepting new patients |
| Theoria Medical | Family Medicine | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
245 E NC Highway 54
Ste 205
Durham, NC 27713
Phone (919) 419-0242
3612 Shannon Rd
Ste 105
Durham, NC 27707
Phone (919) 419-0242
303 E Carver St
Durham, NC 27704
Phone (725) 710-9338
411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFCAAA
- nwinbush419189@hisp.ehr.sutterhealth.org
Organizations & group practices 5
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
- Durham, NC
- NPI 1306378005
-
- Internal Medicine Physician
- Novi, MI
- NPI 1275427429
NC
-
- Family Medicine Physician
- Durham, NC
- NPI 1295706133
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Raleigh, NC
- NPI 1518974609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1902991458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E ELLERBEE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277044228",
"telephone_number": "415-529-8592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 CAMPUS WALK AVE BLDG 500",
"city": "DURHAM",
"state": "NC",
"postal_code": "277058878",
"telephone_number": "919-213-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINBUSH",
"first_name": "NICOLE",
"middle_name": "YVETTE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A78596",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "88691",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "48415",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "312299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA - PRIMARY",
"identifier": "01-23535",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP61533",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43828800",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "761T6WI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A78596",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA - CHOICE",
"identifier": "01-23535",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "2436123",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "663943700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1042337",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.