Theodore Prins Kistemaker, PA-C
Physician Assistant · Winston Salem, NC
Theodore Prins Kistemaker, PA-C is a physician assistant with a practice address in Winston Salem, North Carolina, and NPI 1770523557, issued on Jun 8, 2006. Check the license (North Carolina 103628, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Theodore Prins Kistemaker
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 103628 NC
Self-reported in NPPES; status is on the state search - Practice location
- 3333 Brookview Hills Blvd, Winston Salem, NC 27103
- Phone
- (336) 765-5250
- Enumerated
- Jun 8, 2006
- Record last updated
- Apr 28, 2014 (not updated in 12 years: call before relying on the address or phone)
- Fax
- (336) 659-0953
- Medicare enrollment
- Enrolled (PECOS I20100212000632); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 9,279 in North Carolina → Look up another NPI →
Also registered at 3333 Brookview Hills Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Theodore Prins Kistemaker in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 103628Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
20% fewer Medicare Part D claims than the average physician assistant in 2024
667 Medicare Part D claims for 220 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Most prescribed
- Amlodipine Besylate62 claims
- Losartan Potassium26 claims
- Lisinopril24 claims
- Gabapentin23 claims
- Metformin Hcl Er23 claims
- Doxycycline Hyclate18 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Wake Forest University Health SciencesWinston Salem, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Theodore Prins Kistemaker among 9,279 physician assistant records in North Carolina
Theodore Prins Kistemaker, PA-C is one of 9,279 physician assistant records with a practice address in North Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 80% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2002 · median 2017 among the 6,366 with a school on file
- Record last updated2014 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
665 physician assistant records list a practice address in Winston Salem
They are 665 of the 10,040 NPPES records with a practice address in Winston Salem, and 9,279 physician assistant records in North Carolina.
All 9,279 in North Carolina → Every provider in Winston Salem → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Robert Allen, MDWinston Salem, NC 271031154309359
- James Beach, P.A.Winston Salem, NC 271031588640452
- Kimberlee Blaylock, P.A.-CWinston Salem, NC 271031225024029
- Blanche Brais, PA-CWinston Salem, NC 271031922086909
- Joy Csikos, PA-CWinston Salem, NC 271031700880440
- Emily Epling, PACWinston Salem, NC 271031295718997
- Phillip Huie, P.A.Winston Salem, NC 271031740266428
- Dennis Leris, PA-CWinston Salem, NC 271031629074323
Common questions
What is Theodore Prins Kistemaker, PA-C's NPI number?
Theodore Prins Kistemaker, PA-C's National Provider Identifier (NPI) is 1770523557, issued on Jun 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Theodore Prins Kistemaker, PA-C located?
The NPPES record lists a practice address at 3333 Brookview Hills Blvd, Winston Salem, NC, 27103. Phone: (336) 765-5250. Providers update this record themselves, so call before visiting.
How can I verify Theodore Prins Kistemaker, PA-C's license?
NPPES lists North Carolina license number 103628, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
How much does Theodore Prins Kistemaker, PA-C prescribe under Medicare Part D?
In 2024, Theodore Prins Kistemaker, PA-C had 667 Medicare Part D claims for 220 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.