Individual provider Active NPI

Krystal Daniel Becks, ANP-C

  • Adult Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1841548591
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
17895 Issued in SC
Practice address
3523 Pelham Rd
Suite C
Greenville, SC 29615-4191
Phone
(864) 306-0966
Fax
(864) 306-2544
NPI assigned
Aug 28, 2012
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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 17895 SC
Adult Health Nurse Practitioner 363LA2200X 17895 SC Primary

Addresses

Primary practice location

3523 Pelham Rd
Suite C
Greenville, SC 29615-4191

Mailing address

P.O. Box 14611
Greenville, SC 29610-4611

Other identifiers 1

IdentifierTypeStateIssuer
NP2203MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20121211000016 SC Practitioner - Nurse Practitioner 1557513918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
51.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Network Geriatric Services, PA CurrentSince Sep 9, 2012 Accepting new patients
Reliant Geriatrics, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Charleston Geriatrics and Post - Acute Care LLC Past Accepting new patients
Inpatient Consultants of North Carolina, PC Nurse Practitioner Past Accepting new patients

Locations

3523 Pelham Rd
Ste C
Greenville, SC 29615
Phone (864) 306-0966

850 E Butler Rd
Greenville, SC 29607
Phone (864) 306-0966

103 S Pine St
Spartanburg, SC 29302
Phone (864) 327-1510

Organizations & group practices 4

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1841548591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 14611",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296104611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 PELHAM RD",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154191",
            "telephone_number": "864-306-0966",
            "fax_number": "864-306-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKS",
        "first_name": "KRYSTAL",
        "middle_name": "DANIEL",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "17895",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "17895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2203",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.