Individual provider Active NPI

Doralis Gonzalez Pelegrin, NP

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1992664684
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5023974 Issued in NC
Practice address
5093 University Pkwy
Winston Salem, NC 27106-6085
Phone
(336) 883-0029
Fax
(336) 883-0867
NPI assigned
Jan 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 5023974 NC Primary

Addresses

Primary practice location

5093 University Pkwy
Winston Salem, NC 27106-6085

Mailing address

645 N Main St
High Point, NC 27260-5017
Phone (336) 883-0029

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
I20260226001475 NC Practitioner - Nurse Practitioner 2769963842 Reassigns benefits to 1 organization

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
Bethany Medical CenterGroup PAC ID 4486614575, 71 clinicians

Practice addresses (Care Compare)

3402 Battleground Ave
Greensboro, NC 27410-2578
Phone (336) 883-0029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000123NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Medical Center Nurse Practitioner CurrentSince Feb 16, 2026 Accepting new patients
Bethany Medical Center, PA CurrentSince Feb 16, 2026 Accepting new patients
Bethany Medical Center Single Specialty Past Accepting new patients
Bethany Medical Center Single Specialty Past Accepting new patients

Locations

3402 Battleground Ave
Greensboro, NC 27410
Phone (336) 545-1515

3610 Peters Ct
High Point, NC 27265

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

507 N Lindsay St
High Point, NC 27262

5093 University Pkwy
Winston Salem, NC 27106

Organizations & group practices 4

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": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1992664684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5093 UNIVERSITY PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271066085",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PELEGRIN",
        "first_name": "DORALIS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5023974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.