NPIMap

Individual provider Active NPI

Krystal Richardson Wright, PA

  • Physician Assistant
  • Troy, NC
National Provider Identifier
1396987087
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01706 Issued in NC
Practice address
835 Albemarle Rd
Troy, NC 27371-8682
Phone
(910) 572-2309
NPI assigned
Mar 27, 2009
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-01706 NC Primary

Addresses

Primary practice location

835 Albemarle Rd
Troy, NC 27371-8682

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

105 Yadkin St
Ste 301
Albemarle, NC 28001-3449
Phone (980) 323-5360

Other practice location 2

243 N Highway 49
Richfield, NC 28137-5731
Phone (980) 323-5520

Other practice location 3

269 S Main St
Norwood, NC 28128-6435
Phone (980) 323-5470

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kwright137032@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090514000532 NC Practitioner - Physician Assistant 5890844252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

835 Albemarle Rd
Troy, NC 27371-8682
Phone (910) 572-2309

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-01706NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jan 1, 2015 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 1, 2015 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

105 Yadkin St
Ste 301
Albemarle, NC 28001
Phone (704) 982-9144

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

269 S Main St
Norwood, NC 28128
Phone (704) 474-3171

243 N Highway 49
Richfield, NC 28137
Phone (704) 463-5003

835 Albemarle Rd
Troy, NC 27371
Phone (910) 572-2309

Interoperability endpoints

  • Direct secure messaging: kwright137032@carolinashealthcaresystem.direct-ci.com

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

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1396987087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 ALBEMARLE RD",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273718682",
            "telephone_number": "910-572-2309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Yadkin St",
            "address_2": "Ste 301",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280013449",
            "country_code": "US",
            "telephone_number": "980-323-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "243 N Highway 49",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "NC",
            "postal_code": "281375731",
            "country_code": "US",
            "telephone_number": "980-323-5520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 S Main St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NC",
            "postal_code": "281286435",
            "country_code": "US",
            "telephone_number": "980-323-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KRYSTAL",
        "middle_name": "RICHARDSON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwright137032@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "835 Albemarle Rd",
            "city": "Troy",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273718682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, NC

Sources for this page

Verify at the official NPI Registry.