Active NPI
Christopher Edison Villarraga, ARNP
- Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5019062
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-5754 - Phone
- (336) 716-6674
- NPI assigned
- Nov 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9361615 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN9361615 | FL | |
| Nurse Practitioner | 363L00000X | 5019062 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-5754
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6674
Other practice location 1
350 7th St N
Naples, FL 34102-5754
Phone (239) 624-8250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NND5J | Other | FL | BCBS |
| 105699600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9361615 | FL | MD | Nurse Practitioner |
| 5019062 | NC | MD | Nurse Practitioner |
| APRN9361615 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd, Inc | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients |
Locations
6101 Pine Ridge Rd
#1213
Naples, FL 34119
Phone (239) 263-0849
311 Tamiami Trl N
Ste 310
Naples, FL 34102
Phone (239) 261-9990
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
6101 Pine Ridge Rd
Fl 1
Naples, FL 34119
Phone (239) 263-0849
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- cvillarraga23343@nchhealthcaresystem.direct-ci.com
- cvillarraga2862944@carolinashealthcaresystem.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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- High Point, NC
- NPI 1396746228
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1710456157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-6674",
"fax_number": "336-716-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271575754",
"telephone_number": "336-716-6674"
}
],
"practiceLocations": [
{
"address_1": "350 7th St N",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341025754",
"country_code": "US",
"telephone_number": "239-624-8250",
"fax_number": "239-624-8251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLARRAGA",
"first_name": "CHRISTOPHER",
"middle_name": "EDISON",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-15",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9361615",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9361615",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5019062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NND5J",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105699600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.