Individual provider Active NPI

Nicole Yvette Winbush, MD

  • Family Medicine Physician
  • Durham, NC
National Provider Identifier
1902991458
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
312299 Issued in NC
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

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01-23535OtherMNMEDICA - PRIMARY
HP61533OtherMNHEALTHPARTNERS
43828800MedicaidWI
761T6WIOtherMNBCBS
A78596OtherCASTATE MEDICAL LICENSE
01-23535OtherMNMEDICA - CHOICE
2436123OtherMNARAZ
663943700MedicaidMN
1042337OtherMNPREFERRED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250519002487 NC Practitioner - Family Practice 7618879701 Reassigns benefits to 3 organizations

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
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

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 Hospice, Raleigh, NC, CCN 341523
  • University Health and Rehabilitation Center Nursing home, Durham, NC, CCN 345070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A78596CAMDFamily Medicine Physician
88691GAMDFamily Medicine Physician
312299NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Sep 17, 2025 Accepting new patients
Theoria Medical CurrentSince Mar 8, 2025 Accepting new patients
Southwest Durham Family Medicine, PLLC Family Medicine CurrentSince Jul 25, 2025 Accepting new patients
Southpoint Family Medicine, PLLC Family Medicine CurrentSince Jul 25, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFCAAA
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.