Active NPI
Krista Gruber, FNP
- Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5018096
- Practice address
- 1709 S 16TH St Ste a
Wilmington, NC 28401-6491 - Phone
- (910) 452-8633
- NPI assigned
- Oct 21, 2022
- Last updated
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5018096 | NC | Primary |
Addresses
Primary practice location
1709 S 16TH St Ste a
Wilmington, NC 28401-6491
Mailing address
PO Box 15109
Wilmington, NC 28408-5109
Phone (910) 392-2525
Other names 1
- Krista Stone
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | skrista@med.umich.edu | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5018096 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tarheel Emergency Group, PLLC | Current | Accepting new patients | |
| Senior Health Associates, P.a. | Current | Accepting new patients | |
| Carolina Quickcare Family Practice, PLLC | Current | Accepting new patients |
Locations
2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970
1709 S 16th St
Ste A
Wilmington, NC 28401
Phone (910) 452-8633
1984 S 16th St
Ste 1
Wilmington, NC 28401
Phone (910) 452-8633
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Jacksonville, NC
- NPI 1386388874
-
dba Carolina QuickCare Family Practice
- Internal Medicine Physician
- Biscoe, NC
- NPI 1881360899
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1396893640
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onslow Memorial Hospital
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1851018774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15109",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284085109",
"telephone_number": "910-392-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 S 16TH ST STE A",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016491",
"telephone_number": "910-452-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "KRISTA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5018096",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "skrista@med.umich.edu",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "skrista@med.umich.edu",
"address_1": "1500 E Medical Center Dr",
"city": "Ann Arbor",
"state": "MI",
"country_code": "US",
"postal_code": "481095000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTA",
"last_name": "STONE",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.