Crystal Easter Jones, NP

Key facts

NPI

1275914285

Entity type

Individual (NPI type 1)

Primary specialty

Adult Health Nurse Practitioner 363LA2200X

License

5007681 (NC)

Practice address

1909 W Park Dr
North Wilkesboro, NC 28659-3564

Phone

(336) 667-1001

Fax

(336) 667-1422

NPI assigned

Jun 16, 2015

Sex

Female

Sole proprietor

No

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.

• Blue Ridge Cardiology and Internal Medicine PA Cardiovascular Disease Physician · Elkin, NC · NPI 1851363311
  Medicare reassignment Care Compare group NPD NC

Hospital & facility affiliations 3

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

• Northern Hospital of Surry County General Acute Care Hospital · Mount Airy, NC · NPI 1366449282
  Care Compare affiliation Hospital
• Wake Forest Baptist Health Care at Home, LLC Home Health Agency · Wilkesboro, NC · NPI 1487075149
  Care Compare affiliation Home health agency
• WRMC Hospital Operating Corporation General Acute Care Hospital · North Wilkesboro, NC · NPI 1881614071
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ridge Cardiology and Internal Medicine PA (7 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wake Forest Baptist Health Care at Home, LLC Home health agency · Wilkesboro, NC · CCN 347043
• Wilkes Regional Medical Center Hospital · North Wilkesboro, NC · CCN 340064
• Northern Regional Hospital Hospital · Mount Airy, NC · CCN 340003

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

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Crystal Starr Easter Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2021.

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1275914285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550249",
            "telephone_number": "336-679-4963",
            "fax_number": "336-679-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 W PARK DR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593564",
            "telephone_number": "336-667-1001",
            "fax_number": "336-667-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CRYSTAL",
        "middle_name": "EASTER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007681",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5007681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "EASTER",
            "middle_name": "STARR",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in North Wilkesboro, NC · Adult Health Nurse Practitioner in North Carolina