Active NPI
Krystal Lee Oestreich, NP
- Pediatric Nurse Practitioner
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN245584
- Practice address
- 1120 15TH St # BP-3129
Augusta, GA 30912-0004 - Phone
- (706) 721-0142
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN245584 | GA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN245584 | GA | Primary |
Addresses
Primary practice location
1120 15TH St # BP-3129
Augusta, GA 30912-0004
Mailing address
1120 15TH St
Ste Bi1056
Augusta, GA 30912-0004
Phone (706) 721-2785
Other practice location 1
1219 W Wheeler Pkwy Ste A
Augusta, GA 30909-1899
Phone (762) 375-6387
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
#3129
Augusta, GA 30912
Phone (706) 721-0142
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
1219 W Wheeler Pkwy
Ste A
Augusta, GA 30909
Phone (706) 726-8727
1220 W Wheeler Pkwy
Augusta, GA 30909
Phone (706) 721-2741
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1255817755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"address_2": "STE BI1056",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-2785",
"fax_number": "706-721-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST # BP-3129",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-0142"
}
],
"practiceLocations": [
{
"address_1": "1219 W Wheeler Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309091899",
"country_code": "US",
"telephone_number": "762-375-6387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OESTREICH",
"first_name": "KRYSTAL",
"middle_name": "LEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN245584",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN245584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.