Individual provider Active NPI

Terri Lee Koson, NP

  • Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1154377372
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
900179 Issued in NC
Practice address
1001 Newman Rd
New Bern, NC 28562-5253
Phone
(252) 635-6777
Fax
(252) 634-3183
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 900179 NC
Nurse Practitioner 363L00000X 900179 NC Primary

Addresses

Primary practice location

1001 Newman Rd
New Bern, NC 28562-5253

Mailing address

PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 635-6777

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
I20040712000406 NC Practitioner - Nurse Practitioner 6204814726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Practice addresses (Care Compare)

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 637-9298

532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
900179NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Current Accepting new patients
Carolinaeast Physicians CurrentSince Jan 20, 2010 Accepting new patients
Carolinaeast Physicians CurrentSince Jan 20, 2010 Accepting new patients
Johnston Pain Management PA PastSince Oct 1, 1996 Accepting new patients
Michael K Nunn, PC Past Accepting new patients
Carolinaeast Physicians Past Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

1001 Newman Rd
New Bern, NC 28562
Phone (252) 635-6777

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Interoperability endpoints

  • Direct secure messaging: tkoson19524@carolinaeastmc.direct-ci.com

Organizations & group practices 6

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1154377372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-635-6777",
            "fax_number": "252-634-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625253",
            "telephone_number": "252-635-6777",
            "fax_number": "252-634-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSON",
        "first_name": "TERRI",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NC",
            "license": "900179",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "900179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.