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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS LEE KRUEGER
NPI 1407432214
General Practice in Fort Bragg, NC

Active since March 22, 2021PECOS Enrolled
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-8707 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, Aug 21, 2023, Mar 22, 2021 (3 updates tracked since 2021).

About Nicholas Lee Krueger NPPES

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

NICHOLAS LEE KRUEGER (NPI 1407432214) is an individual general practice provider in Fort Bragg, North Carolina, licensed in Virginia (0101276784) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407432214
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameNICHOLAS LEE KRUEGER
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-0001
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001 · (910) 907-8922 · Fax (910) 907-6069
Phone(910) 907-8707
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1407432214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101276784
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2817 ROCK MERRITT AVE, Fort Bragg, NC 28310
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Lee Krueger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JOSEPH CLAIR
Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
CASEY TURNER PT, DPT
Physical Therapist
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-6069
DR. ROBERT JOSEPH ROLLER JR. PT, PHD, DPT, ATC
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
ERIN FOLEY PT, DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8709
MICHAEL ANDREW SLACK DPT
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (224) 715-1689
MRS. COLLEEN MARGARET REMINSKY LAT, ATC
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 908-9663
ROBERT AUSTIN JONES PA-C
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Cumberland County (910) 907-8922
BONNIE CLAIRE-KAMEI BARKLEY PA-S
Physician Assistant
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922

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 Nicholas Krueger's NPI number?

The NPI number for Nicholas Krueger is 1407432214. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Nicholas Krueger located?

Nicholas Krueger practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-8707.

What is Nicholas Krueger's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nicholas Krueger enrolled in Medicare?

Yes. Nicholas Krueger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Krueger was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.