CRYSTAL DIANNE KELLAM MSW
NPI 1265084800
Social Worker - Clinical in Greenville, NC
About Crystal Dianne Kellam Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL DIANNE KELLAM MSW (NPI 1265084800) is an individual clinical provider in Greenville, North Carolina, licensed in North Carolina (C013218) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Crystal Dianne Kellam Msw 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.
Medicare Billing Reassignments
4Medicare enrollment records show Crystal Kellam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 930 clinicians in this Medicare group
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,653 clinicians in this Medicare group
Roanoke Rapids, NC 27870
- Reassigned Medicare billing, North Carolina enrollment
- 9 clinicians in this Medicare group
Hayesville, NC 28904
- Reassigned Medicare billing, North Carolina enrollment
- 151 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
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 Crystal Kellam's NPI number?
The NPI number for Crystal Kellam is 1265084800. It was assigned to this individual provider in the NPPES registry on July 14, 2019.
Where is Crystal Kellam located?
Crystal Kellam practices at 525 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 744-1406.
What is Crystal Kellam's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Crystal Kellam enrolled in Medicare?
Yes. Crystal Kellam 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.
Which organizations bill Medicare for Crystal Kellam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Kellam reassigns Medicare benefits to 4 organizations: East Carolina University (Greenville, NC), Vidant Medical Group LLC (Greenville, NC), Roanoke Valley Health Services Inc (Roanoke Rapids, NC) and Murphy Medical Center, Inc. (Hayesville, NC). 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 Crystal Kellam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystal Kellam accept?
Health plans from Blue Cross and Blue Shield of NC list Crystal Kellam 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 Crystal Kellam was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Crystal Dianne Kellam, MSW · NPI 1265084800
Clinical provider in Greenville, North Carolina. Individual provider, active in the CMS NPPES registry since July 14, 2019.
## Identity
- **NPI:** 1265084800 (Entity type: Individual)
- **Enumerated:** July 14, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C013218 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 MOYE BLVD, Greenville, NC 27834-2849
- **Phone:** (252) 744-1406 · **Fax:** (252) 744-4270
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): East Carolina University (NPI 1689815284, Greenville, NC); Vidant Medical Group LLC (NPI 1477648731, Greenville, NC); Roanoke Valley Health Services Inc (NPI 1720198369, Roanoke Rapids, NC); Murphy Medical Center, Inc. (NPI 1194196550, Hayesville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265084800) · Data from the CMS NPPES public registry.