Individual provider Active NPI

Debra M Crain, FNP-C

  • Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1285802488
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5003858 Issued in NC
Practice address
551 Brevard Rd
Asheville, NC 28806-2316
Phone
(828) 212-7021
Fax
(828) 232-8218
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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 005003858 NC
Nurse Practitioner 363L00000X 5003858 NC Primary

Addresses

Primary practice location

551 Brevard Rd
Asheville, NC 28806-2316

Mailing address

668 Jr Pate Rd
Burnsville, NC 28714-5878

Other practice location 1

100 Ridgefield Ct
Asheville, NC 28806-2270
Phone (828) 670-8403

Other identifiers 1

IdentifierTypeStateIssuer
7004199MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5003858NCMDNurse Practitioner
005003858NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MH Angel Medical Center, LLLP PastSince Sep 1, 2016 Accepting new patients
Cancer Care of WNC, PA Past Accepting new patients
Cancer Care of WNC Past Accepting new patients

Organizations & group practices 3

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1285802488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 JR PATE RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287145878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BREVARD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062316",
            "telephone_number": "828-212-7021",
            "fax_number": "828-232-8218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ridgefield Ct",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062270",
            "country_code": "US",
            "telephone_number": "828-670-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "DEBRA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "005003858",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5003858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004199",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.