Active NPI
Crystal Lublin
- Family Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5008645
- Practice address
- 2310 Delaney Ave
Wilmington, NC 28403-6013 - Phone
- (910) 763-4511
- Fax
- (910) 763-6608
- NPI assigned
- Mar 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 250030 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5008645 | NC | Primary |
Addresses
Primary practice location
2310 Delaney Ave
Wilmington, NC 28403-6013
Mailing address
2310 Delaney Ave
Wilmington, NC 28403-6013
Phone (910) 763-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2310 Delaney Ave
Wilmington, NC 28403-6013
Phone (910) 763-4511
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
- Novant Health Brunswick Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008645 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Infectious Disease Consultants | Current | Accepting new patients | |
| Cogent Healthcare of North Carolina, PC | Nurse Practitioner | Current | Accepting new patients |
| Hospitalist Medicine Physicians of North Carolina PLLC | Current | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
2310 Delaney Ave
Wilmington, NC 28403
Phone (910) 763-4511
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- crystal.lublin.1@9622.direct.athenahealth.com
- https://api.platform.athenahealth.com/9622/brand/1/csg/1/fhir/r4
- clublin1327722@direct.novanthealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Wilmington, NC
- NPI 1528154473
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1548207483
Nurse Practitioner
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1164724902
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1003277948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036013",
"telephone_number": "910-763-4511",
"fax_number": "910-763-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036013",
"telephone_number": "910-763-4511",
"fax_number": "910-763-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBLIN",
"first_name": "CRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-18",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "250030",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5008645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.