Individual provider Active NPI

Krista A. Ellison, APRN, FNP-BC

  • Family Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1902389638
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020184 Issued in NC
Practice address
705 Newman Rd
New Bern, NC 28562-5239
Phone
(252) 633-2712
Fax
(252) 633-5418
NPI assigned
Sep 10, 2018
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 APRN61701-FNP-BC WV
Family Nurse Practitioner 363LF0000X 5020184 NC Primary

Addresses

Primary practice location

705 Newman Rd
New Bern, NC 28562-5239

Mailing address

PO Box 68
Pollocksville, NC 28573-0068
Phone (252) 635-3906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181101001523 WV Practitioner - Nurse Practitioner 7012260409 Reassigns benefits to 3 organizations
I20240828004062 NC Practitioner - Nurse Practitioner 7012260409 Reassigns benefits to 1 organization

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
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Practice addresses (Care Compare)

137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 637-9298

2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

2636 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

4218 Arendell St
Morehead City, NC 28557-2866
Phone (252) 247-3257

445 Western Blvd
Jacksonville, NC 28546-6845
Phone (252) 633-2712

532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712

701 Newman Rd
New Bern, NC 28562-5239
Phone (252) 633-2081

705 Newman Rd
New Bern, NC 28562-5239
Phone (252) 633-2712

906 WB McLean Blvd
Cape Carteret, NC 28584-9211
Phone (252) 393-9007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Current Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Matrix Medical Plus CurrentSince Apr 1, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Sep 1, 2018 Accepting new patients
Carolinaeast Physicians CurrentSince Aug 1, 2024 Accepting new patients
Carolinaeast Physicians CurrentSince Aug 1, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Matrix Medical Network of West CurrentSince Aug 1, 2022 Accepting new patients
Carolinaeast Physicians Past Accepting new patients
West Virginia Gynecologic Oncology Assoc LLC PastSince Jan 30, 2001 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

705 Newman Rd
New Bern, NC 28562
Phone (252) 633-2712

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

209 Washington St W
Charleston, WV 25302
Phone 24852821166

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • Direct secure messaging: kellison22354@carolinaeastmc.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1902389638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285730068",
            "telephone_number": "252-635-3906",
            "fax_number": "252-224-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625239",
            "telephone_number": "252-633-2712",
            "fax_number": "252-633-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "KRISTA",
        "middle_name": "A.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN61701-FNP-BC",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.