CHRISTY DAWN KUBROCK
NPI 1164770699
Nurse Practitioner in Greenville, NC
About Christy Dawn Kubrock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTY DAWN KUBROCK (NPI 1164770699) is an individual nurse practitioner in Greenville, North Carolina, licensed in North Carolina (187539) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilson.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christy Dawn Kubrock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Christy Kubrock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilson, NC 27893
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Nc Kidney Care, PA
- 3 clinicians in this Medicare group
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 27834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Christy Kubrock's NPI number?
The NPI number for Christy Kubrock is 1164770699. It was assigned to this individual provider in the NPPES registry on August 15, 2012.
Where is Christy Kubrock located?
Christy Kubrock practices at 401 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 830-2149.
What is Christy Kubrock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Christy Kubrock enrolled in Medicare?
Yes. Christy Kubrock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Christy Kubrock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christy Kubrock reassigns Medicare benefits to N.C. Kidney Care, P.A. (Wilson, 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 Christy Kubrock'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 Christy Kubrock was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Christy Dawn Kubrock · NPI 1164770699
Nurse Practitioner physician in Greenville, North Carolina. Individual provider, active in the CMS NPPES registry since August 15, 2012.
## Identity
- **NPI:** 1164770699 (Entity type: Individual)
- **Enumerated:** August 15, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 187539 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 MOYE BLVD, Greenville, NC 27834
- **Phone:** (252) 830-2149
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** N.C. Kidney Care, P.A. (NPI 1396966412, Wilson, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1164770699) · Data from the CMS NPPES public registry.