CROSSING WATERS, PLLC
NPI 1215549431
Psychologist - Clinical in Wilmington, NC

Active since August 19, 2020
313 WALNUT ST STE 107, WILMINGTON, NC 28401(910) 805-8205 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crossing Waters, Pllc NPPES

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

CROSSING WATERS, PLLC (NPI 1215549431) is a healthcare organization registered as a clinical in Wilmington, North Carolina and active in the NPI registry since August 2020. The organization lists Cynthia R Fitzsimmons, Clinical Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1215549431
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCROSSING WATERS, PLLC
Location Address313 WALNUT ST STE 107Wilmington, NC 28401-4063
Mailing Address4602 Manchester DrWilmington, NC 28405-1317 · (864) 546-0217
Organization SubpartNo
Authorized OfficialCynthia R FitzsimmonsClinical Psychologist/owner · (910) 805-8205
Enumeration DateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1215549431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
313 WALNUT ST STE 107, Wilmington, NC 28401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crossing Waters, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20211001002279Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crossing Waters, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1699002089
313 WALNUT ST STE 107
Wilmington, NC 28401
(910) 805-8205
✔ PECOS✔ Accepts MedicareSame address

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

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 Crossing Waters, PLLC's NPI number?

The NPI number for Crossing Waters, PLLC is 1215549431. It was assigned to this organization in the NPPES registry on August 19, 2020.

Where is Crossing Waters, PLLC located?

Crossing Waters, PLLC is located at 313 Walnut St Ste 107, Wilmington, NC 28401. The listed phone number is (910) 805-8205.

What is Crossing Waters, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Crossing Waters, PLLC enrolled in Medicare?

Yes. Crossing Waters, PLLC is registered in the Medicare PECOS enrollment system.

When is Crossing Waters, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Crossing Waters, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Crossing Waters, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Crossing Waters, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Crossing Waters, PLLC 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 Crossing Waters, PLLC was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.