NPIMap

Individual provider Active NPI

Krysta Courtney Bragg, FNP

  • Family Nurse Practitioner
  • Monroe, NC
National Provider Identifier
1144706011
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010655 Issued in NC
Practice address
1423 E Franklin St
Ste D
Monroe, NC 28112-5266
Phone
(704) 289-6474
NPI assigned
Jul 13, 2018
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010655 NC
Family Nurse Practitioner 363LF0000X 5010655 NC Primary

Addresses

Primary practice location

1423 E Franklin St
Ste D
Monroe, NC 28112-5266

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

6030 W Highway 74
Ste D
Indian Trail, NC 28079-3468
Phone (704) 246-2800

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kbragg22610@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190508000004 SC Practitioner - Nurse Practitioner 0547502841 Reassigns benefits to 2 organizations
I20200406001437 NC Practitioner - Nurse Practitioner 0547502841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

1423 E Franklin St
Suite I
Monroe, NC 28112-5100
Phone (800) 230-1721

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Urgent Care LLC CurrentSince Aug 27, 2019 Accepting new patients
Carolinas Physician Network, Inc. CurrentSince Mar 30, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 30, 2020 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
App of South Carolina Ed PLLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

6030 W Highway 74
Ste D
Indian Trail, NC 28079
Phone (704) 226-0413

1423 E Franklin St
Ste D
Monroe, NC 28112
Phone (704) 226-6474

1423 E Franklin St
Ste I
Monroe, NC 28112
Phone (704) 288-4650

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

2010 W DeKalb St
Camden, SC 29020
Phone (803) 272-0500

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

Interoperability endpoints

  • Direct secure messaging: kbragg22610@carolinashealthcaresystem.direct-ci.com

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

Hospital & facility affiliations 10

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1144706011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 E FRANKLIN ST",
            "address_2": "STE D",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125266",
            "telephone_number": "704-289-6474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6030 W Highway 74",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280793468",
            "country_code": "US",
            "telephone_number": "704-246-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "KRYSTA",
        "middle_name": "COURTNEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-07-15",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010655",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbragg22610@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1423 E Franklin St",
            "address_2": "Ste D",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.