Individual provider Active NPI

Jeffrey Owen Krings, FNP-C

  • Family Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1104161421
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
171005 Issued in NC
Practice address
2132 Cloverdale Ave
Winston Salem, NC 27103-2507
Phone
(336) 713-9188
Fax
(336) 713-8532
NPI assigned
Nov 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 171005 NC Primary

Addresses

Primary practice location

2132 Cloverdale Ave
Winston Salem, NC 27103-2507

Mailing address

2132 Cloverdale Ave
Winston Salem, NC 27103-2507
Phone (336) 713-9188

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
I20130206000202 NC Practitioner - Nurse Practitioner 1759535495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
171005NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Dec 10, 2012 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Jan 4, 2013 Accepting new patients

Locations

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: jkrings2753565@carolinashealthcaresystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1104161421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 CLOVERDALE AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032507",
            "telephone_number": "336-713-9188",
            "fax_number": "336-713-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 CLOVERDALE AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032507",
            "telephone_number": "336-713-9188",
            "fax_number": "336-713-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRINGS",
        "first_name": "JEFFREY",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "171005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.