Individual provider Active NPI

Crystal Lublin

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1003277948
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008645 Issued in NC
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

Updated by the provider on Jan 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160829000211 NC Practitioner - Nurse Practitioner 7618262742 Reassigns benefits to 3 organizations

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
Coastal Infectious Disease ConsultantsGroup PAC ID 7719992544, 3 clinicians

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 Hospital, Wilmington, NC, CCN 340141
  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008645NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Infectious Disease Consultants CurrentSince Jan 8, 2024 Accepting new patients
Cogent Healthcare of North Carolina, PC Nurse Practitioner CurrentSince Nov 4, 2017 Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC CurrentSince Oct 1, 2017 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

  • Direct secure messaging: crystal.lublin.1@9622.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9622/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.