Active NPI
Crista Corral
- Adult Health Nurse Practitioner
- West Jefferson, NC
National Provider Identifier
1083564249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5023879
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5023879 | NC | MD | Adult 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.
-
- Family Medicine Physician
- Boone, NC
- NPI 1699546861
-
- Geriatric Medicine (Internal Medicine) Physician
- Lexington, NC
- NPI 1245813757
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.