Chrystie Lee Smith, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005454 Issued in NC

Practice address

958 US Highway 64 E
Plymouth, NC 27962-9216

Phone

(252) 793-4135

Fax

(252) 793-7802

NPI assigned

Dec 23, 2011

Last updated

Sep 6, 2023By 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 2

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Housing and Community Services CorporationGroup PAC ID 3779993837, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington County Hosp Inc Hospital, Plymouth, NC, CCN 341314
• Washington County Hosp Inc Nursing home, CCN 34Z314

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cstowe.wrmc-affinity@direct.wrmc.nchie.net

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.

• Centennial Housing & Community Services Corporation

  dba Washington Regional Medical Center

  • Emergency Medicine Physician
  • Plymouth, NC
  • NPI 1902412729
  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Centennial Housing & Community Services Corporation

  dba Washington Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Plymouth, NC
  • NPI 1558977371
  NPD
• Centennial Housing & Community Services Corporation

  dba Washington Regional Medical Center

  • Critical Access Hospital
  • Plymouth, NC
  • NPI 1972119782
  NPD (past)

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

• Centennial Housing & Community Services Corporation

  dba Washington Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Plymouth, NC
  • NPI 1558977371

  Nursing home

  Care Compare affiliation
• Centennial Housing & Community Services Corporation

  dba Washington Regional Medical Center

  • Critical Access Hospital
  • Plymouth, NC
  • NPI 1972119782
  Care Compare affiliation

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1053680892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 US HIGHWAY 64 E",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629216",
            "telephone_number": "252-793-4135",
            "fax_number": "252-793-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 US HIGHWAY 64 E",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629216",
            "telephone_number": "252-793-4135",
            "fax_number": "252-793-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRYSTIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005454",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royallabs Elite Screening & Testing Services
• S-T-E-P-S
• Jennifer Shelton, RN, BSN
• Tiffany Smiling, FNP
• Smith Chiropractic Group, PLLC
• Ginger McDermott Spencer, FNP
• Start Wellness Inc
• David M. Sterling Jr., PAC
• Tar River LTC Group, LLC (Roanoke Landing Nursing and Rehabilitation Center)
• Tar River LTC Group, LLC (Roanoke Landing Nursing and Rehabilitation Center)

• Family Nurse Practitioner in Plymouth, NC
• Providers in Plymouth, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.