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

Nicole Jean Prendergast

Individual provider Emergency Medicine Physician · NPI 1073018081

Nicole Jean Prendergast is an Emergency Medicine in Winston Salem, North Carolina. Graduated from F H Netter, MD School of Med at Quinnipiac Univ in 2018, 8 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
8
Trained at
F H Netter, MD School of Med at Quinnipiac Univ
Licensed in
NC, TN
In the registry since
2018
Specialties on file
3

Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 900 Welch Rd, Palo Alto, CA 94304-1805 — (650) 723-9215
  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-1805 — (615) 322-5000

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 2023-01108 (NC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 65293 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073018081
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESJuly 4, 2023
Certification dateJuly 4, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolF H NETTER, M.D. SCHOOL OF MED AT QUINNIPIAC UNIV
Graduated 2018 (8 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winston Salem