MR. CHARLES DENNIS CRISP JR.
NPI 1255919452
Nurse Practitioner - Family in Lenoir, NC

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
902 KIRKWOOD AVE NW, LENOIR, NC 28645(828) 754-0101 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2022, Apr 22, 2021, Mar 31, 2021 (3 updates tracked since 2021).

About Mr. Charles Dennis Crisp Jr. NPPES

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

MR. CHARLES DENNIS CRISP JR. (NPI 1255919452) is an individual family provider in Lenoir, North Carolina, licensed in North Carolina (5014266) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255919452
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CHARLES DENNIS CRISP JR.
Location Address902 KIRKWOOD AVE NWLenoir, NC 28645-5121
Mailing Address902 Kirkwood Ave NwLenoir, NC 28645-5121 · (828) 754-0101
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2021
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
NPI 1255919452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5014266
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5014266 (NC)
902 KIRKWOOD AVE NW, Lenoir, NC 28645

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Charles Dennis Crisp Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254749542
PECOS Enrollment IDI20210427001272
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
96 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
36 services15 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
28 services26 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340041
Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28645 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Geriatric Medicine)
902 KIRKWOOD AVE NW
LENOIR, NC 28645
Nurse Practitioner (Family)
902 KIRKWOOD AVE NW
LENOIR, NC 28645
Hospice Care, Community Based
902 KIRKWOOD AVE NW
LENOIR, NC 28645
Nurse Practitioner (Family)
902 KIRKWOOD AVE NW
LENOIR, NC 28645
Nurse Practitioner (Family)
902 KIRKWOOD AVE NW
LENOIR, NC 28645
Emergency Medicine (Hospice and Palliative Medicine)
902 KIRKWOOD AVE NW
LENOIR, NC 28645
Nurse Practitioner (Adult Health)
902 KIRKWOOD AVE NW
LENOIR, NC 28645
Counselor (Professional)
902 KIRKWOOD AVE NW
LENOIR, NC 28645

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 Charles Crisp's NPI number?

The NPI number for Charles Crisp is 1255919452. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Charles Crisp located?

Charles Crisp practices at 902 Kirkwood Ave NW, Lenoir, NC 28645. The listed phone number is (828) 754-0101.

What is Charles Crisp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charles Crisp enrolled in Medicare?

Yes. Charles Crisp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Crisp accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Charles Crisp 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.

Is Charles Crisp affiliated with any hospitals?

According to CMS data, Charles Crisp is affiliated with Caldwell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Charles Crisp was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.