Individual provider Active NPI

Crystal Easter Jones, NP

  • Adult Health Nurse Practitioner
  • North Wilkesboro, NC
National Provider Identifier
1275914285
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5007681 Issued in 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
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5007681 NC
Adult Health Nurse Practitioner 363LA2200X 5007681 NC Primary

Addresses

Primary practice location

1909 W Park Dr
North Wilkesboro, NC 28659-3564

Mailing address

PO Box 249
Yadkinville, NC 27055-0249
Phone (336) 679-4963

Other names 1

  • Crystal Starr Easter Former name

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
I20150828000153 NC Practitioner - Nurse Practitioner 9335455898 Reassigns benefits to 1 organization

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
Blue Ridge Cardiology and Internal Medicine PAGroup PAC ID 7719875707, 7 clinicians

Practice addresses (Care Compare)

108 S State St
Yadkinville, NC 27055-8249
Phone (336) 679-2733

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5007681NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Cardiology and Internal Medicine PA CurrentSince Jul 26, 2018 Accepting new patients

Locations

640 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 526-7997

905 Rockford St
Mount Airy, NC 27030
Phone (336) 648-8200

1909 W Park Dr
North Wilkesboro, NC 28659
Phone (336) 667-1001

108 S State St
Yadkinville, NC 27055
Phone (336) 679-2733

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "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"
        }
    ]
}

Other providers in North Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.