Active NPI
Samantha Joanne Criste, NP
- Nurse Practitioner
- Dover, NC
National Provider Identifier
1003356767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009331
- Practice address
- 235 Jenkins Rd
Dover, NC 28526-9399 - Phone
- (252) 933-6698
- Fax
- (855) 236-3085
- NPI assigned
- Feb 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009331 | NC | Primary |
Addresses
Primary practice location
235 Jenkins Rd
Dover, NC 28526-9399
Mailing address
235 Jenkins Rd
Dover, NC 28526-9399
Phone (252) 933-6698
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171122002144 | NC | Practitioner - Nurse Practitioner | 1951668128 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Duke University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morcom Medical Consultants, PLLC
Practice addresses (Care Compare)
235 Jenkins Rd
Dover, NC 28526-9399
Phone (252) 521-0030
Hospital & facility affiliations
- Scotland Memorial Hospital
- Novant Health New Hanover Regional Medical Center
- Southeastern Regional Medical Center
- Firsthealth Moore Regional Hospital
- Unc Health Care Wayne
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 91.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Care Inc | Current | Accepting new patients | |
| Morcom Medical Consultants, PLLC | Current | Accepting new patients | |
| Skill Creations Inc | Past | Accepting new patients | |
| Skill Creations Inc | Past | Accepting new patients | |
| Skill Creations | Past | Accepting new patients | |
| Skill Creations Inc | Past | Accepting new patients | |
| Skill Creations Inc | Past | Accepting new patients | |
| Skill Creations Inc | Past | Accepting new patients | |
| Skill Creations Inc | Past | Accepting new patients |
Locations
1402 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 735-3311
Organizations & group practices 9
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.
-
- Intellectual Disabilities Intermediate Care Facility
- Goldsboro, NC
- NPI 1194077024
-
- Intellectual Disabilities Intermediate Care Facility
- Wilson, NC
- NPI 1104176338
-
- Intellectual Disabilities Intermediate Care Facility
- Kinston, NC
- NPI 1275883498
-
- Intellectual Disabilities Intermediate Care Facility
- Tarboro, NC
- NPI 1689924813
-
- Intellectual Disabilities Intermediate Care Facility
- Wilmington, NC
- NPI 1750632030
-
- Intellectual Disabilities Intermediate Care Facility
- Kenansville, NC
- NPI 1801147186
-
- Intellectual Disabilities Intermediate Care Facility
- Greenville, NC
- NPI 1932459153
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
Hospital
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
Hospital
-
- General Acute Care Hospital
- Lumberton, NC
- NPI 1427030774
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1003356767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 JENKINS RD",
"city": "DOVER",
"state": "NC",
"postal_code": "285269399",
"telephone_number": "252-933-6698",
"fax_number": "855-236-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 JENKINS RD",
"city": "DOVER",
"state": "NC",
"postal_code": "285269399",
"telephone_number": "252-933-6698",
"fax_number": "855-236-3085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTE",
"first_name": "SAMANTHA",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.