Individual provider Active NPI

Brandi Melissa Decriscio, WHNP

  • Women's Health Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1619519428
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5012479 Issued in NC
Practice address
111 Hanestown CT
Winston Salem, NC 27103-1749
Phone
(336) 765-9350
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012479 NC
Women's Health Nurse Practitioner 363LW0102X 5012479 NC Primary

Addresses

Primary practice location

111 Hanestown CT
Winston Salem, NC 27103-1749

Mailing address

1949 Helmstetler Rd
Lexington, NC 27295-4904
Phone (336) 287-1170

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
I20191122000028 NC Practitioner - Nurse Practitioner 6406288901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

445 Pineview Dr
Suite 110
Kernersville, NC 27284-3818
Phone (336) 765-9350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5012479NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince Oct 31, 2019 Accepting new patients
Whap, PA Past Accepting new patients

Locations

445 Pineview Dr
Ste 110
Kernersville, NC 27284
Phone (336) 993-4352

1908 Caudle Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-9076

111 Hanestown Ct
#151
Winston Salem, NC 27103
Phone (919) 334-0150

111 Hanestown Ct
Winston Salem, NC 27103

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

1200 N Martin Luther King Jr Dr
Winston Salem, NC 27101
Phone (336) 713-9800

500 Shepherd St
Ste 200
Winston Salem, NC 27103
Phone (336) 716-6893

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Interoperability endpoints

  • Direct secure messaging: brandi.decriscio.1@7773.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1619519428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 HELMSTETLER RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272954904",
            "telephone_number": "336-287-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HANESTOWN CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031749",
            "telephone_number": "336-765-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECRISCIO",
        "first_name": "BRANDI",
        "middle_name": "MELISSA",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012479",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5012479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.