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ROSA CREDLE FNP
NPI 1043063324
Nurse Practitioner in Winterville, NC

Active since April 08, 2024PECOS Enrolled
468 CHANNEL DR, WINTERVILLE, NC 28590(252) 258-7544 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rosa Credle Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSA CREDLE FNP (NPI 1043063324) is an individual nurse practitioner in Winterville, North Carolina, licensed in North Carolina (CRED-0N34P) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043063324
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROSA CREDLECredential: FNP
Location Address468 CHANNEL DRWinterville, NC 28590-9196
Mailing Address468 Channel DrWinterville, NC 28590-9196 · (252) 258-7544
Phone(252) 258-7544
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 8, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1043063324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · CRED-0N34P
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
468 CHANNEL DR, Winterville, NC 28590
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosa Credle Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254812985
PECOS Enrollment IDI20260220002504
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rosa Credle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pruitthealth Hospice, Inc.
5.0 mi
Hospice Care, Community Based
2313 EXECUTIVE CIR STE A
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 14 clinicians in this Medicare group
NPI 1992744361 (252) 753-7741

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28590 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosa Credle's NPI number?

The NPI number for Rosa Credle is 1043063324. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Rosa Credle located?

Rosa Credle practices at 468 Channel Dr, Winterville, NC 28590. The listed phone number is (252) 258-7544.

What is Rosa Credle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rosa Credle enrolled in Medicare?

Yes. Rosa Credle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rosa Credle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosa Credle reassigns Medicare benefits to Pruitthealth Hospice, Inc. (Greenville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rosa Credle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rosa Credle was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.