CRYSTAL MEDLEY GREEN FNP
NPI 1306472311
Nurse Practitioner - Family in Statesville, NC

Active since March 21, 2020PECOS EnrolledAccepts Medicare Assignment
555 KITCHINGS DR, STATESVILLE, NC 28677(704) 978-1144(704) 978-1148 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2022, Dec 21, 2020, Dec 2, 2020 and 2 more (5 updates tracked since 2020).

About Crystal Medley Green Fnp NPPES

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

CRYSTAL MEDLEY GREEN FNP (NPI 1306472311) is an individual family provider in Statesville, North Carolina, licensed in North Carolina (5013900) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306472311
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL MEDLEY GREENCredential: FNP
Location Address555 KITCHINGS DRStatesville, NC 28677-3576
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277
Fax(704) 978-1148
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2020
Last NPPES UpdateSeptember 13, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
NPI 1306472311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NC · 5013900 Licensed in NC · HOPK-RD2QQ
555 KITCHINGS DR, Statesville, NC 28677

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

Crystal Medley Green Fnp 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 ID1153735535
PECOS Enrollment IDI20210126001510
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 16

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
4,760 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
452 services244 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
169 services111 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
131 services92 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
85 services71 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services57 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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.

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.

Internal Medicine (Gastroenterology)
555 KITCHINGS DR
STATESVILLE, NC 28677
Nurse Practitioner (Family)
555 KITCHINGS DR
STATESVILLE, NC 28677
Nurse Practitioner (Family)
555 KITCHINGS DR
STATESVILLE, NC 28677
Internal Medicine (Gastroenterology)
555 KITCHINGS DR
STATESVILLE, NC 28677
Obstetrics & Gynecology
555 KITCHINGS DR
STATESVILLE, NC 28677
Internal Medicine (Gastroenterology)
555 KITCHINGS DR
STATESVILLE, NC 28677
Nurse Practitioner
555 KITCHINGS DR
STATESVILLE, NC 28677
Nurse Practitioner
555 KITCHINGS DR
STATESVILLE, NC 28677

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 Green's NPI number?

The NPI number for Crystal Green is 1306472311. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Crystal Green located?

Crystal Green practices at 555 Kitchings Dr, Statesville, NC 28677. The listed phone number is (704) 978-1144.

What is Crystal Green's specialty?

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

Is Crystal Green enrolled in Medicare?

Yes. Crystal Green 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 Crystal Green accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Crystal Green 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 Crystal Green affiliated with any hospitals?

According to CMS data, Crystal Green is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Crystal Green was last updated on September 13, 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.