Individual provider Active NPI

Krystin Greer Fmura, FNP

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1700472727
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013961 Issued in NC
Practice address
2901 Blue Ridge Rd Ste 203
Raleigh, NC 27607-6423
Phone
(919) 784-6818
Fax
(919) 784-6828
NPI assigned
Dec 14, 2020
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013961 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2901 Blue Ridge Rd Ste 203
Raleigh, NC 27607-6423

Mailing address

1212 Fountain Branch Rd
Rocky Mount, NC 27803-8540
Phone (717) 368-3817

Other practice location 1

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8962

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
I20210310001262 NC Practitioner - Nurse Practitioner 3476969890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NHCS Physicians Inc CurrentSince Jan 15, 2021 Accepting new patients
NHCS Physicians, Inc. CurrentSince Jan 15, 2021 Accepting new patients

Locations

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Interoperability endpoints

  • Direct secure messaging: kfmura301566@direct.unc.nchie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1700472727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 FOUNTAIN BRANCH RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278038540",
            "telephone_number": "717-368-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BLUE RIDGE RD STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076423",
            "telephone_number": "919-784-6818",
            "fax_number": "919-784-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2460 Curtis Ellis Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042237",
            "country_code": "US",
            "telephone_number": "252-962-8962",
            "fax_number": "252-962-8979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FMURA",
        "first_name": "KRYSTIN",
        "middle_name": "GREER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013961",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.