Individual provider Active NPI

Crystal Ostheim, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1821490434
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007203 Issued in NC
Practice address
3205 Randall Pkwy
Wilmington, NC 28403-2564
Phone
(910) 742-9243
Fax
(888) 746-1787
NPI assigned
Sep 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 5007203 NC Primary

Addresses

Primary practice location

3205 Randall Pkwy
Wilmington, NC 28403-2564

Mailing address

202 Spoonbill Dr
Goldsboro, NC 27534-9637
Phone (919) 223-1750

Other practice location 1

208 Cox Blvd Ste 102
Goldsboro, NC 27534-9414
Phone (919) 731-6018

Other identifiers 1

IdentifierTypeStateIssuer
5007203OtherNCADVANCED PRACTICE PROVIDER NC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address costheim198361@direct.UNC.nchie.net Direct

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
I20150127002361 NC Practitioner - Nurse Practitioner 5890019699 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians
Lifesource Prime IncGroup PAC ID 7810336385, 52 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

3205 Randall Pkwy
Suite 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Greenville, NC, CCN 347031
  • 3HC Hospice, Goldsboro, NC, CCN 341551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5007203NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Nov 1, 2018 Accepting new patients
Lifesource Prime Inc CurrentSince Sep 23, 2024 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Lifesource Prime Inc CurrentSince Sep 23, 2024 Accepting new patients
Lifesource of North Carolina CurrentSince May 1, 2023 Accepting new patients
Lifesource of North Carolina CurrentSince May 1, 2023 Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

208 Cox Blvd
Ste 102
Goldsboro, NC 27534
Phone (919) 587-4081

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

3205 Randall Pkwy
Wilmington, NC 28403
Phone (919) 521-0833

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1821490434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SPOONBILL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349637",
            "telephone_number": "919-223-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 RANDALL PKWY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032564",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Cox Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349414",
            "country_code": "US",
            "telephone_number": "919-731-6018",
            "fax_number": "919-580-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTHEIM",
        "first_name": "CRYSTAL",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE PROVIDER NC",
            "identifier": "5007203",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "costheim198361@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "208 Cox Blvd Ste 102",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.