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

Kellie Preslar Koontz, NP

Individual provider Nurse Practitioner · NPI 1255989943

Kellie Preslar Koontz, NP is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2019, 7 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101-3006
Phone: (336) 713-9800
Fax: (336) 713-9641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 245 Charlois Blvd, Winston Salem, NC 27103-1507 — (336) 659-4777

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5012173 (NC)

Record details

NPI number1255989943
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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