Individual provider Active NPI

Charis Craig Bostian, FNP

  • Nurse Practitioner
  • Salisbury, NC
National Provider Identifier
1093378291
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011682 Issued in NC
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

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812001612 NC Practitioner - Nurse Practitioner 9335476563 Reassigns benefits to 1 organization

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
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

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

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jun 11, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 11, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Novant Health Medical Group, LLC PastSince Dec 18, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.