Rosa Credle, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CRED-0N34P Issued in NC

Practice address

468 Channel Dr
Winterville, NC 28590-9196

Phone

(252) 258-7544

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pruitthealth Hospice, Inc.

  dba PruittHealth Hospice and Palliative Care - Triangle

  • Community Based Hospice Care Agency
  • Rocky Mount, NC
  • NPI 1003853516
  Medicare reassignment Care Compare group
• Pruitthealth Hospice, Inc.

  dba PruittHealth Hospice - Eastern Carolina

  • Community Based Hospice Care Agency
  • Greenville, NC
  • NPI 1992744361
  NPD
• Physicians at Home PC

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1487073193
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1043063324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 CHANNEL DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909196",
            "telephone_number": "252-258-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 CHANNEL DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909196",
            "telephone_number": "252-258-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREDLE",
        "first_name": "ROSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "CRED-0N34P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Cobb
• Lisa Coffey, CNA
• Lisa Kay Coffman, LCSW
• Nicole Victoria Compton, ATC/L
• Veronica Alexandria Cary Cox, LCMHCA
• Christopher Justin Crotty, MD
• Reagan Grace Cunningham
• CVS/Pharmacy
• Dae LLC (DAE Therapy)
• Frank Dang, DO

• Nurse Practitioner in Winterville, NC
• Providers in Winterville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.

Verify at the official NPI Registry.