Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christine Derisse

Individual provider Family Medicine Physician · NPI 1669828968

Christine Derisse is a Family Practice in Winston Salem, North Carolina. Qualified in 2016, 10 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group and accepts Medicare assignment. Licensed in Illinois and North Carolina.

Years since qualifying
10
Licensed in
IL, NC
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

105 Vest Mill Cir
Winston Salem, NC 27103-2943
Phone: (336) 718-7800
Fax: (336) 718-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2019-02192 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125069058 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669828968
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winston Salem