Sandra L. Krantz, F.N.P.
Individual provider Active NPI Family Nurse Practitioner · Faison, NC
NPI 1215071865 · NPPES record last updated Feb 15, 2024
Key facts
- NPI
- 1215071865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5002414 (NC)
- Practice address
- 444 SW Center Sreet
Faison, NC 28341-8820 - Phone
- (910) 267-0421
- Fax
- (910) 267-0441
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Baylor College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Goshen Medical Center Incorporated
Practice addresses (Care Compare)
325 NC Hwy 55 W
Mount Olive, NC 28365-8527
Phone (919) 658-5900
444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421
460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951
906 N US Hwy 421
Clinton, NC 28328-0410
Phone (910) 592-1462
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026000148 | NC | Practitioner - Nurse Practitioner | 1850325275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23854 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current |
Accepting new patients | |
| Goshen Medical Center Incorporated | Current |
Accepting new patients | |
| Goshen Medical Center Incorporated | Past | Accepting new patients | |
| Goshen Medical Center Incorporated | Past | Accepting new patients |
Locations
906 N US Highway 421
Clinton, NC 28328
Phone (910) 592-1462
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
214 Duplin St
Kenansville, NC 28349
Phone (910) 296-1811
325 NC Highway 55 W
Mount Olive, NC 28365
Phone (919) 658-5900
360 E Charity Rd
Rose Hill, NC 28458
Phone (910) 289-3086
110 Eastwood Dr
Wallace, NC 28466
Phone (910) 285-2330
603 E College St
Warsaw, NC 28398
Phone (910) 293-3900
Interoperability endpoints
- skrantz@goshenmedical.cloudcraftdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23854 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5002414 | NC | Yes |
Addresses
Primary practice location
444 SW Center Sreet
Faison, NC 28341-8820
Mailing address
PO Box 187
Faison, NC 28341-0187
Phone (910) 267-0421
Other providers in Faison, NC
- Goshen Medical Center Incorporated
- Karen Lynn Halter
- Kristi Ann Kerr
- Aixa Nieves Kimes
- Phillip Joseph Kohut
- Lori Hobbs Langston
- Lea Taylor Meeks
- Perla Mendo Lopez
- John Ralph Page
- Keith Patti
All providers in Faison, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.