Individual provider Active NPI

Crista Corral

  • Adult Health Nurse Practitioner
  • West Jefferson, NC
National Provider Identifier
1083564249
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5023879 Issued in NC
Practice address
402 Graybeal Ave
West Jefferson, NC 28694-9730
Phone
(336) 846-2265
NPI assigned
Jan 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5023879 NC Primary

Addresses

Primary practice location

402 Graybeal Ave
West Jefferson, NC 28694-9730

Mailing address

1000 Thorncrest Dr
Fletcher, NC 28732-9294
Phone (828) 708-2834

Other practice location 1

86 Old Airport Rd
Fletcher, NC 28732-9232
Phone (828) 654-9060

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260412000014 NC Practitioner - Nurse Practitioner 8729553334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T4 Medical PLLCGroup PAC ID 0244769156, 30 clinicians

Practice addresses (Care Compare)

211 Milton Brown Heirs Rd
Boone, NC 28607-8708
Phone (706) 737-9250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5023879NCMDAdult Health Nurse Practitioner

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1083564249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 THORNCREST DR",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287329294",
            "telephone_number": "828-708-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GRAYBEAL AVE",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949730",
            "telephone_number": "336-846-2265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Old Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Fletcher",
            "state": "NC",
            "postal_code": "287329232",
            "country_code": "US",
            "telephone_number": "828-654-9060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRAL",
        "first_name": "CRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5023879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

Verify at the official NPI Registry.