Karlee Crumpton Wagoner, APRN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

005001621 Issued in NC

Practice address

5821 Farrington Rd
Suite 101
Chapel Hill, NC 27517-9901

Phone

(919) 403-6200

Fax

(919) 403-6242

NPI assigned

Sep 26, 2006

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

Other identifiers 3

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

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 and National Provider Directory roles.

• Dermatology & Laser Center of Chapel Hill, PLLC

  • Dermatology Physician
  • Chapel Hill, NC
  • NPI 1114470523
  Medicare reassignment NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1043311632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 FARRINGTON RD",
            "address_2": "SUITE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179901",
            "telephone_number": "919-403-6200",
            "fax_number": "919-403-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 FARRINGTON RD",
            "address_2": "SUITE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179901",
            "telephone_number": "919-403-6200",
            "fax_number": "919-403-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGONER",
        "first_name": "KARLEE",
        "middle_name": "CRUMPTON",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "005001621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0235H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4420282",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0050-01621",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra M Wagner, PA-C
• Shaun R. Wagner, D.O.
• Sibyl Maureen Wagner, MSW, LCSW
• Andrew Johnston Wagoner, D.D.S
• Joel M Wagoner, DDS
• Alexandria Nicole Wagstaff, PA-C
• Kelly Marie Waicus, MD
• Justin David Wain, DO
• Wake Specialty Physicians LLC
• Constance Wakeford, OT/L

• Adult Health Nurse Practitioner in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.