Individual provider Active NPI

Christopher Winstead-Derlega, M.D. MPH

  • Emergency Medicine Physician
  • Nags Head, NC
National Provider Identifier
1053765305
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01608 Issued in NC
Practice address
4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone
(125) 244-9450
NPI assigned
Apr 22, 2016
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Emergency Medicine Physician 207P00000X 01608 NC Primary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 01608 NC

Addresses

Primary practice location

4800 S Croatan Hwy
Nags Head, NC 27959-9704

Mailing address

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (757) 615-6082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200914001522 NC Practitioner - Emergency Medicine 1658799218 Reassigns benefits to 2 organizations
I20250718003993 UT Practitioner - Emergency Medicine 1658799218 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Virginia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

450 Williams Way
Moab, UT 84532-2185
Phone (435) 210-6860

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Aug 16, 2021 Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Jan 10, 2025 Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1053765305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S CROATAN HWY",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599704",
            "telephone_number": "757-615-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S CROATAN HWY",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599704",
            "telephone_number": "125-244-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTEAD-DERLEGA",
        "first_name": "CHRISTOPHER",
        "credential": "M.D. MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "01608",
            "primary": true
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "01608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

Verify at the official NPI Registry.