Individual provider Active NPI

Allison M. Krakeel, APRN

  • Nurse Practitioner
  • Moncks Corner, SC
National Provider Identifier
1194123364
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19136 Issued in SC
Practice address
459 N Highway 52
Moncks Corner, SC 29461-3924
Phone
(843) 899-3870
Fax
(843) 899-3877
NPI assigned
Dec 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19136 SC
Nurse Practitioner 363L00000X 19136 SC Primary

Addresses

Primary practice location

459 N Highway 52
Moncks Corner, SC 29461-3924

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Other practice location 1

1401 Sam Rittenberg Blvd Ste 6
Charleston, SC 29407
Phone (843) 973-5393

Other practice location 2

10160 Dorchester Road
Summerville, SC 29485
Phone (843) 871-7900

Other practice location 3

1213 Remount Rd
North Charleston, SC 29406
Phone (843) 973-5415

Other practice location 4

9331 University Boulevard
Suite D2C
N Charleston, SC 29406-9148
Phone (843) 797-0416

Other identifiers 2

IdentifierTypeStateIssuer
SC5269I818OtherSCMEDICARE PIN
NP3080MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allison.krakeel@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150331001880 SC Practitioner - Nurse Practitioner 3173840105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

459 N Hwy 52
Moncks Corner, SC 29461-3924
Phone (843) 899-3870

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19136SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

459 N Highway 52
Moncks Corner, SC 29461
Phone (843) 889-3870

Interoperability endpoints

  • Direct secure messaging: allison.krakeel@centerwell.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1194123364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 N HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613924",
            "telephone_number": "843-899-3870",
            "fax_number": "843-899-3877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Sam Rittenberg Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29407",
            "country_code": "US",
            "telephone_number": "843-973-5393",
            "fax_number": "407-770-0661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10160 Dorchester Road",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "29485",
            "country_code": "US",
            "telephone_number": "843-871-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 Remount Rd",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "29406",
            "country_code": "US",
            "telephone_number": "843-973-5415",
            "fax_number": "833-994-1101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9331 University Boulevard",
            "address_2": "Suite D2C",
            "address_purpose": "LOCATION",
            "city": "N Charleston",
            "state": "SC",
            "postal_code": "294069148",
            "country_code": "US",
            "telephone_number": "843-797-0416",
            "fax_number": "843-847-4477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKEEL",
        "first_name": "ALLISON",
        "middle_name": "M.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19136",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "19136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC5269I818",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3080",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allison.krakeel@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1401 Sam Rittenberg Blvd Ste 6",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

Verify at the official NPI Registry.