Krystle Kvalheim McCarthy, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN215848 Issued in GA

Practice address

225 Candler Dr Ste 300
Savannah, GA 31405-6091

Phone

(912) 354-6187

NPI assigned

Jun 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Krystle Danille Kvalheim Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Candler Medical Oncology Practice LLCGroup PAC ID 2860717089, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Candler Hospital Hospital, Savannah, GA, CCN 110024

Merit-based Incentive Payment System (MIPS)

Final score

69.81 of 100Reported as group

Quality

58.86

Promoting interoperability

53

Improvement activities

40

Cost

70.07

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: kkvalheim@summitcancercare.direct.varian.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/candler-47b034e8

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.

• Candler Medical Oncology Practice, LLC

  • Hematology & Oncology Physician
  • Savannah, GA
  • NPI 1003217712
  Medicare reassignment Care Compare group NPD
• Effingham Physician Practices, LLC

  • Hematology & Oncology Physician
  • Springfield, GA
  • NPI 1477908788
  Medicare reassignment NPD
• Candler Medical Oncology Practice, LLC

  • Hematology & Oncology Physician
  • Bluffton, SC
  • NPI 1376179960
  NPD
• SJC Oncology Services - Georgia, LLC

  • Radiation Oncology Physician
  • Savannah, GA
  • NPI 1710196589
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1174052120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 SUTLIVE ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054721",
            "telephone_number": "912-354-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CANDLER DR STE 300",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056091",
            "telephone_number": "912-354-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16741 Highway 67 Ste B",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304582529",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Highway 119 S Ste B",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Sutlive St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054721",
            "country_code": "US",
            "telephone_number": "912-354-6187",
            "fax_number": "912-355-9807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KRYSTLE",
        "middle_name": "KVALHEIM",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "GA",
            "license": "RN215848",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN215848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003192231B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA RN LICENSE",
            "identifier": "RN215848",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTLE",
            "last_name": "KVALHEIM",
            "middle_name": "DANILLE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saudia Mariah McCarley, MD
• Claire Anne McCarthy
• Jessica McCarthy, CCC-SLP
• Katelyn McCarthy
• Kevin McCarthy, DNAP, APRN, CRNA
• Donald K. McCartney, M.D.
• Selina McCartney, APC
• Margaret McCarty
• Alston J. McCaslin VI, D.M.D.
• Julia McCauley, RN

• Family Nurse Practitioner in Savannah, GA
• Providers in Savannah, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.

Verify at the official NPI Registry.