Active NPI
Crystal Larson
- Family Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1932095387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5022388
- Practice address
- 7019 Harps Mill Rd Ste 200
Raleigh, NC 27615-3248 - Phone
- (919) 850-1300
- NPI assigned
- Jun 13, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5022388 | NC | Primary |
Addresses
Primary practice location
7019 Harps Mill Rd Ste 200
Raleigh, NC 27615-3248
Mailing address
2221 Spruce Shadows LN
Raleigh, NC 27614-6918
Phone (203) 558-1145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Nov 17, 2025 through Nov 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5022388 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med One Medical Group | Family | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749945600000",
"number": "1932095387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 SPRUCE SHADOWS LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146918",
"telephone_number": "203-558-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7019 HARPS MILL RD STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153248",
"telephone_number": "919-850-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "CRYSTAL",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-13",
"last_updated": "2025-06-15",
"certification_date": "2025-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5022388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.