Individual provider Active NPI

Karri Britton Wynne, CRNA

  • Certified Registered Nurse Anesthetist
  • Williamston, NC
National Provider Identifier
1477963627
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
5030 Issued in NC
Practice address
310 S McCaskey Rd
Williamston, NC 27892-2150
Phone
(252) 809-6300
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 221679 NC
Certified Registered Nurse Anesthetist 367500000X 102266 NC
Certified Registered Nurse Anesthetist 367500000X 5030 NC Primary

Addresses

Primary practice location

310 S McCaskey Rd
Williamston, NC 27892-2150

Mailing address

2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone (252) 752-2140

Other practice location 1

2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone (252) 752-2140

Other identifiers 2

IdentifierTypeStateIssuer
Q47121AOtherNCMEDICARE
1477963627MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811000862 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668699968 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 827-8101

521 Moye Blvd C
Greenville, NC 27834-2849
Phone (252) 744-1440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
102266NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Health - Heritage Inc CurrentSince Jan 1, 2024 Accepting new patients
East Carolina Health - Heritage Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Whitehurst Anesthesia P a Nurse Anesthetist, Certified Registered CurrentSince Aug 6, 2023 Accepting new patients
Raleigh Medical Group, PA CurrentSince Sep 1, 2023 Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Jun 30, 2014 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 12, 2022 Accepting new patients
Williamston Clinic Corp CurrentSince May 6, 2019 Accepting new patients
Moye Medical Endoscopy Center LLC CurrentSince Jul 20, 2024 Accepting new patients
Vidant Medical Group LLC PastSince Oct 12, 2022 Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

521 Moye Blvd
#C
Greenville, NC 27834
Phone (252) 744-1400

521 Moye Blvd
Ste C
Greenville, NC 27834
Phone (252) 744-1400

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

701 Doctors Dr
Ste N
Kinston, NC 28501
Phone (252) 559-2200

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

310 S McCaskey Rd
Williamston, NC 27892
Phone (252) 809-6133

104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300

2402 Camden St SW
Ste 300
Wilson, NC 27893
Phone (252) 237-4100

Organizations & group practices 9

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 1

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1477963627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 W ARLINGTON BLVD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343770",
            "telephone_number": "252-752-2140",
            "fax_number": "252-689-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MCCASKEY RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922150",
            "telephone_number": "252-809-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 W Arlington Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278343770",
            "country_code": "US",
            "telephone_number": "252-752-2140",
            "fax_number": "252-689-6502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNNE",
        "first_name": "KARRI",
        "middle_name": "BRITTON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "221679",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "102266",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "5030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q47121A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477963627",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.