Individual provider Active NPI

Andrea Lynell Croom, AGNP-C

  • Adult Health Nurse Practitioner
  • Apex, NC
National Provider Identifier
1174917819
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5007537 Issued in NC
Practice address
911 S Hughes St
Apex, NC 27502-7731
Phone
(919) 363-6001
Fax
(919) 363-6013
NPI assigned
Mar 19, 2015
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5007537 NC Primary
Gerontology Nurse Practitioner 363LG0600X 5007537 NC

Addresses

Primary practice location

911 S Hughes St
Apex, NC 27502-7731

Mailing address

911 S Hughes St
Apex, NC 27502-7731
Phone (919) 363-6011

Other names 1

  • Andrea Croom Bartoe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abartoe295582@direct.UNC.nchie.net Direct

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
I20160201002802 NC Practitioner - Nurse Practitioner 2163726845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Internal Medicine PLLCGroup PAC ID 0446391544, 14 clinicians

Practice addresses (Care Compare)

1380 Eastchester Dr
Suite 105
High Point, NC 27265-2659
Phone (336) 610-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5007537NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Internal Medicine of Asheboro Current Accepting new patients
NC Elder Care PLLC CurrentSince Nov 19, 2025 Accepting new patients

Locations

138 Dublin Square Rd
Ste B
Asheboro, NC 27203
Phone (336) 610-1300

1380 Eastchester Dr
Ste 103
High Point, NC 27265
Phone (336) 521-9480

1380 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 610-1300

Interoperability endpoints

  • Direct secure messaging: abartoe295582@direct.unc.nchie.net

Organizations & group practices 3

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 2

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": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1174917819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S HUGHES ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027731",
            "telephone_number": "919-363-6011",
            "fax_number": "919-363-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S HUGHES ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027731",
            "telephone_number": "919-363-6001",
            "fax_number": "919-363-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOM",
        "first_name": "ANDREA",
        "middle_name": "LYNELL",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5007537",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5007537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abartoe295582@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "911 S Hughes St",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275027731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BARTOE",
            "middle_name": "CROOM",
            "credential": "AGNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.