Greta H. Crisco, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F09191855 Issued in NC

Practice address

101 Cabarrus Ave E
Concord, NC 28025-3699

Phone

(855) 743-2247

Fax

(612) 688-6267

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

91.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Integrated Wound Care North Carolina PLLC

  • General Practice Physician
  • Brevard, NC
  • NPI 1942865316
  Medicare reassignment NPD
• Morcom Medical Consultants, PLLC

  • Family Medicine Physician
  • Dover, NC
  • NPI 1447314075
  Medicare reassignment NPD
• Integrated Wound Care Virginia PLLC

  • General Practice Physician
  • Roanoke, VA
  • NPI 1407498397
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1386287175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "STANFIELD",
            "state": "NC",
            "postal_code": "281630632",
            "telephone_number": "704-984-1817",
            "fax_number": "612-688-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CABARRUS AVE E",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253699",
            "telephone_number": "855-743-2247",
            "fax_number": "612-688-6267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Coyle Rd",
            "address_purpose": "LOCATION",
            "city": "Stanfield",
            "state": "NC",
            "postal_code": "281636724",
            "country_code": "US",
            "telephone_number": "704-984-1817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISCO",
        "first_name": "GRETA",
        "middle_name": "H.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "F09191855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "healthcare2you@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messages",
            "address_1": "144 Coyle Rd",
            "city": "Stanfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281636724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crden Rose Holding Company
• Creative Health Initiatives LTD
• Creative Opportunities for Personal Empowerment, LLC
• Sheyenne Crespo
• Stacia Lynn Crick-Brommel, LCSW
• Hughes Tate Crisp, Jr., BA
• Clara Maria Croce, MD
• Terri Addington Crockett, CRNA
• Granville Giltz Croley II, MD
• Amy S Cromartie, MA, CCC-SLP

• Family Medicine Physician in Concord, NC
• Providers in Concord, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.