Individual provider Active NPI

Crystal Barnes Berumen, NP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1497380646
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03200114 Issued in NC
Practice address
3645 Cape Center Dr
Fayetteville, NC 28304-4457
Phone
(910) 339-8475
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03200114 NC Primary

Addresses

Primary practice location

3645 Cape Center Dr
Fayetteville, NC 28304-4457

Mailing address

3645 Cape Center Dr
Fayetteville, NC 28304-4457

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
I20200928003072 NC Practitioner - Nurse Practitioner 6305265190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

4901 Dawn Dr
Suite 2400
Lumberton, NC 28360-0006
Phone (910) 671-9298

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03200114NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain Center, P.a. CurrentSince Sep 21, 2020 Accepting new patients
Unc Physicians Network LLC CurrentSince Jun 23, 2025 Accepting new patients
Advanced Spine and Pain Center, P.a. CurrentSince Sep 21, 2020 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Gibbons Family Medicine PastSince Jun 23, 2025 Accepting new patients

Locations

1 Medical Dr
Benson, NC 27504
Phone (919) 207-1027

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

204 Medspring Dr
#100
Clayton, NC 27520
Phone (919) 359-8643

3645 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 339-8475

4901 Dawn Dr
Ste 2400
Lumberton, NC 28360
Phone (910) 671-9298

4242 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 321-1012

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Organizations & group practices 5

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.

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1497380646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044457",
            "telephone_number": "910-339-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUMEN",
        "first_name": "CRYSTAL",
        "middle_name": "BARNES",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F03200114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.