Active NPI
Charis Craig Bostian, FNP
- Nurse Practitioner
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5011682
- Practice address
- 330 Jake Alexander Blvd W Ste 101a
Salisbury, NC 28147-1385 - Phone
- (704) 637-5668
- Fax
- (704) 637-5605
- NPI assigned
- Apr 15, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5011682 | NC | Primary |
Addresses
Primary practice location
330 Jake Alexander Blvd W Ste 101a
Salisbury, NC 28147-1385
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
1965 S US 29 Hwy
China Grove, NC 28023-5684
Phone (704) 855-8338
Other practice location 2
1904 Jake Alexander Blvd W Ste 301
Salisbury, NC 28147-1177
Phone (704) 638-1551
Other practice location 3
201 Woodson St Ste A
Salisbury, NC 28144-3286
Phone (704) 639-0097
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbostian400862@direct.novanthealth.org |
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
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Jake Alexander W Blvd
Suite 101
Salisbury, NC 28147-1384
Phone (704) 367-5668
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
1965 S US 29 Hwy
China Grove, NC 28023
Phone (704) 855-7611
9604 Holly Point Dr
Huntersville, NC 28078
Phone (704) 316-5070
330 Jake Alexander Blvd W
#101
Salisbury, NC 28147
Phone (704) 637-5668
201 Woodson St
Ste A
Salisbury, NC 28144
Phone (704) 598-7320
1904 Jake Alexander Blvd W
Ste 301
Salisbury, NC 28147
Phone (704) 638-1551
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- cbostian400862@direct.novanthealth.org
Organizations & group practices 5
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Family Medicine Physician
- China Grove, NC
- NPI 1740505924
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
-
- Otolaryngology Physician
- Salisbury, NC
- NPI 1679727978
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1093378291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 JAKE ALEXANDER BLVD W STE 101A",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281471385",
"telephone_number": "704-637-5668",
"fax_number": "704-637-5605"
}
],
"practiceLocations": [
{
"address_1": "1965 S US 29 Hwy",
"address_purpose": "LOCATION",
"city": "China Grove",
"state": "NC",
"postal_code": "280235684",
"country_code": "US",
"telephone_number": "704-855-8338",
"fax_number": "704-855-8339",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1904 Jake Alexander Blvd W Ste 301",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281471177",
"country_code": "US",
"telephone_number": "704-638-1551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Woodson St Ste A",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281443286",
"country_code": "US",
"telephone_number": "704-639-0097",
"fax_number": "704-639-1389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSTIAN",
"first_name": "CHARIS",
"middle_name": "CRAIG",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5011682",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbostian400862@direct.novanthealth.org",
"affiliation": "N",
"address_1": "330 Jake Alexander Blvd W Ste 101A",
"city": "Salisbury",
"state": "NC",
"country_code": "US",
"postal_code": "281471385",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.