NPIMap

Individual provider Active NPI

Cali Kristy Pea, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1568276822
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021598 Issued in NC
Practice address
2414 Hope Mills Rd
Fayetteville, NC 28304-4264
Phone
(910) 437-9905
NPI assigned
Feb 5, 2025
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 5021598 NC Primary

Addresses

Primary practice location

2414 Hope Mills Rd
Fayetteville, NC 28304-4264

Mailing address

5231 Goshawk Dr
Hope Mills, NC 28348-9408
Phone (618) 616-8044

Other practice location 1

3551 Dunn Rd Ste 101
Eastover, NC 28312-9417
Phone (910) 483-6277

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
I20250612000194 NC Practitioner - Nurse Practitioner 9436669025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Simpleclinic PLLCGroup PAC ID 2264730621, 7 clinicians

Practice addresses (Care Compare)

2414 Hope Mills Rd
Fayetteville, NC 28304-4264
Phone (910) 437-9905

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Simpleclinic PLLC CurrentSince May 1, 2025 Accepting new patients
Simpleclinic PLLC Past Accepting new patients
Eastover Family Care PC Past Accepting new patients

Locations

1515 Sunset Ave
Clinton, NC 28328
Phone (910) 491-9418

3551 Dunn Rd
Ste 101
Eastover, NC 28312
Phone (910) 483-6277

2414 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 424-2426

Interoperability endpoints

  • Direct secure messaging: cpea10094@capefearvalley.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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1568276822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 GOSHAWK DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283489408",
            "telephone_number": "618-616-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044264",
            "telephone_number": "910-437-9905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Dunn Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Eastover",
            "state": "NC",
            "postal_code": "283129417",
            "country_code": "US",
            "telephone_number": "910-483-6277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEA",
        "first_name": "CALI",
        "middle_name": "KRISTY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.