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

Nicholas Dane Pulliam, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1891171682

Nicholas Dane Pulliam, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Winston Salem, North Carolina. Qualified in 2015, 11 years ago. Practices with Novant Health Rowan Medical Center LLC, a 55-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

145 Kimel Park Dr Ste 120
Winston Salem, NC 27103-6984
Phone: (336) 768-3212
Fax: (336) 768-9019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 5821 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 222016 (NC)

Record details

NPI number1891171682
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Novant Health Rowan Medical Center Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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