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MS. BEVERLY ANN CRITTENDON MA
NPI 1255625935
Counselor - Mental Health in Wilmington, NC

Active since May 31, 2011PECOS Enrolled
5041 NEW CENTRE DR, WILMINGTON, NC 28403(191) 039-2894 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Beverly Ann Crittendon Ma NPPES

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

MS. BEVERLY ANN CRITTENDON MA (NPI 1255625935) is an individual mental health provider in Wilmington, North Carolina and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255625935
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. BEVERLY ANN CRITTENDONCredential: MA
Location Address5041 NEW CENTRE DRWilmington, NC 28403-1680
Mailing Address5041 New Centre DrWilmington, NC 28403-1680 · (191) 039-2894
Phone(191) 039-2894
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 31, 2011
✔ NPI 1255625935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5041 NEW CENTRE DR, Wilmington, NC 28403
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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)

Ms. Beverly Ann Crittendon Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052875549
PECOS Enrollment IDI20260715003234
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 Beverly Crittendon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Associates
151 mi
Multi-Specialty
1200 JOHNNIE DODDS BLVD
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1437176039 (843) 792-1414

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

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIANE M CUTHBERT
Nurse Practitioner
5041 NEW CENTRE DR
WILMINGTON, NC 28403
New Hanover County (919) 301-3200
MRS. DEIDRE LYANNE MEARES MA
Counselor (Mental Health)
5041 NEW CENTRE DR
WILMINGTON, NC 28403
New Hanover County (910) 392-8948
BETH LOUISE PAYNE MSW
Counselor (Mental Health)
5041 NEW CENTRE DR, SUITE 209
WILMINGTON, NC 28403
New Hanover County (910) 392-8990
ASHLEY MARTIN BA
Counselor (Mental Health)
5041 NEW CENTRE DR, SUITE 209
WILMINGTON, NC 28403
New Hanover County (910) 392-8990
CHAD ALAN GENSEL MA
Counselor (Mental Health)
5041 NEW CENTRE DR, SUITE 209
WILMINGTON, NC 28403
New Hanover County (910) 392-8990
MELISSA STALEY MS
Marriage & Family Therapist
5041 NEW CENTRE DR, SUITE 209
WILMINGTON, NC 28403
New Hanover County (910) 392-8990
MRS. BONNIE ELLEN GAYNOR MSW, ACSW
Counselor (Mental Health)
5041 NEW CENTRE DR, SUITE 209
WILMINGTON, NC 28403
New Hanover County (910) 392-8990
MISS MELODY R GRANGER LPC
Counselor (Mental Health)
5041 NEW CENTRE DR, SUITE 200
WILMINGTON, NC 28403
New Hanover County (910) 313-3232

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 Beverly Crittendon's NPI number?

The NPI number for Beverly Crittendon is 1255625935. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Beverly Crittendon located?

Beverly Crittendon practices at 5041 New Centre Dr, Wilmington, NC 28403. The listed phone number is (191) 039-2894.

What is Beverly Crittendon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Beverly Crittendon enrolled in Medicare?

Yes. Beverly Crittendon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beverly Crittendon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Crittendon reassigns Medicare benefits to University Medical Associates (Mt Pleasant, SC). 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 Beverly Crittendon'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 Beverly Crittendon was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.