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DIONEIRA CROPPER NP
NPI 1205674256
Nurse Practitioner - Adult Health in Durham, NC

Active since July 15, 2024PECOS Enrolled
303 E CARVER ST., DURHAM, NC 27704(919) 471-3558 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2025, Sep 22, 2024, Jul 28, 2024 and 1 more (4 updates tracked since 2024).

About Dioneira Cropper Np NPPES

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

DIONEIRA CROPPER NP (NPI 1205674256) is an individual adult health provider in Durham, North Carolina, licensed in North Carolina (5020674) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205674256
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDIONEIRA CROPPERCredential: NP
Location Address303 E CARVER ST.Durham, NC 27704
Mailing Address105 Ulverston DrHolly Springs, NC 27540-6869 · (719) 201-5932
Phone(919) 471-3558
Sole ProprietorNo
Enumeration DateJuly 15, 2024
Last NPPES UpdateDecember 9, 20254 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1205674256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5020674
303 E CARVER ST., Durham, NC 27704
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dioneira Cropper Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Dioneira Cropper reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Post Acute Clinical Services PLLC
118 mi
Family Medicine
620 TOM HUNTER RD
Charlotte, NC 28213
  • Reassigned Medicare billing, North Carolina enrollment
  • 48 clinicians in this Medicare group
NPI 1548061104 (704) 598-5136
Theoria Medical
507 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 189 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Complexcare Medical Group Midwest M PLLC
507 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, North Carolina enrollment
  • 41 clinicians in this Medicare group
NPI 1528851607 (248) 660-1220

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 27704 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 Dioneira Cropper's NPI number?

The NPI number for Dioneira Cropper is 1205674256. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Dioneira Cropper located?

Dioneira Cropper practices at 303 E Carver St., Durham, NC 27704. The listed phone number is (919) 471-3558.

What is Dioneira Cropper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dioneira Cropper enrolled in Medicare?

Yes. Dioneira Cropper is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dioneira Cropper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dioneira Cropper reassigns Medicare benefits to 3 organizations: Post Acute Clinical Services PLLC (Charlotte, NC), Theoria Medical (Novi, MI) and Complexcare Medical Group Midwest M PLLC (Novi, MI). Each 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 Dioneira Cropper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dioneira Cropper accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Dioneira Cropper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dioneira Cropper was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.