Doctor profile · Federal record
Dr. Kathryn Nickerson, PA-C
Physician Assistant · Winston Salem, NC
- NPI 1053031526
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
114 Charlois Blvd
Winston Salem, NC 271031522
(336) 765-5470
fax (336) 499-5428 - Additional location
-
450 Brookline Ave
Boston, MA 022155450
(617) 632-3000 - Mailing address
-
Po Box 60447
Charlotte, NC 282600447
Credentials & registration
- NPI registered
- September 2022 — 4 yrs on file
- Profile last updated
- October 29, 2025
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- North Carolina #0010-15673
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053031526. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$214
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Daiichi Sankyo INC. | 1 | $111.53 | |
| Miach Orthopaedics, INC. | 1 | $102.67 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kathryn Nickerson's medical specialty?
Dr. Kathryn Nickerson practices Physician Assistant in Winston Salem, NC.
Where does Dr. Kathryn Nickerson practice?
Dr. Kathryn Nickerson practices at 114 Charlois Blvd, Winston Salem, NC 271031522. Office phone: 3367655470.
What is Dr. Kathryn Nickerson's NPI?
Dr. Kathryn Nickerson's National Provider Identifier (NPI) is 1053031526, issued by NPPES.
Does Dr. Kathryn Nickerson accept Medicare assignment?
Yes. Dr. Kathryn Nickerson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.