Individual provider Active NPI

Meta Jean Cristiano, FNP-C

  • Family Nurse Practitioner
  • Roswell, GA
National Provider Identifier
1568947133
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203422 Issued in GA
Practice address
1380 Woodstock Rd
Roswell, GA 30075-2141
Phone
(770) 640-3131
Fax
(770) 977-9221
NPI assigned
Sep 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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 RN203422 GA Primary

Addresses

Primary practice location

1380 Woodstock Rd
Roswell, GA 30075-2141

Mailing address

4196 Ashbourne CT NE
Roswell, GA 30075-1981
Phone (404) 441-7773

Other names 1

  • Meta Jean Ruckstuhl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20181105001957 GA Practitioner - Nurse Practitioner 5395098511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care PLLCGroup PAC ID 0941642169, 19 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1380 Woodstock Rd
Roswell, GA 30075-2141
Phone (866) 389-2727

687 Johnson Ferry Rd
Marietta, GA 30068-4628
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Oct 12, 2018 Accepting new patients
Primary Care PLLC Family CurrentSince Sep 10, 2024 Accepting new patients

Locations

687 Johnson Ferry Rd
Marietta, GA 30068
Phone (770) 977-9220

1380 Woodstock Rd
Roswell, GA 30075
Phone (770) 640-3131

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1568947133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 ASHBOURNE CT NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751981",
            "telephone_number": "404-441-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 WOODSTOCK RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752141",
            "telephone_number": "770-640-3131",
            "fax_number": "770-977-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTIANO",
        "first_name": "META JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-30",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "META JEAN",
            "last_name": "RUCKSTUHL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.