MRS. ALISA ROCHELLE CRADDOCK FNP-C
NPI 1679895296
Nurse Practitioner - Family in Clinton, NC

Active since February 23, 2010PECOS EnrolledAccepts Medicare Assignment
906 N US HIGHWAY 421, CLINTON, NC 28328(910) 592-1462(910) 808-1040 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2024, Mar 5, 2024 (2 updates tracked since 2024).

About Mrs. Alisa Rochelle Craddock Fnp-c NPPES

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

MRS. ALISA ROCHELLE CRADDOCK FNP-C (NPI 1679895296) is an individual family provider in Clinton, North Carolina, licensed in North Carolina (F02241056) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warsaw, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679895296
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ALISA ROCHELLE CRADDOCKCredential: FNP-C
Location Address906 N US HIGHWAY 421Clinton, NC 28328-0410
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-2042 · Fax (855) 996-9090
Fax(910) 808-1040
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 23, 2010
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1679895296 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 · F02241056
Also ListedRegistered NurseTaxonomy 163W00000X · License 178364 (NC)
906 N US HIGHWAY 421, Clinton, NC 28328

Secondary Practice Location 1

Location 1107 N Railroad StWarsaw, NC 28398-1830 · Phone (910) 590-3006

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

Mrs. Alisa Rochelle Craddock Fnp-c 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 ID9032644588
PECOS Enrollment IDI20241121001147
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28328 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

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

Nurse Practitioner (Family)
906 N US HIGHWAY 421
CLINTON, NC 28328

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 Alisa Craddock's NPI number?

The NPI number for Alisa Craddock is 1679895296. It was assigned to this individual provider in the NPPES registry on February 23, 2010.

Where is Alisa Craddock located?

Alisa Craddock practices at 906 N Us Highway 421, Clinton, NC 28328. The listed phone number is (910) 592-1462.

What is Alisa Craddock's specialty?

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

Is Alisa Craddock enrolled in Medicare?

Yes. Alisa Craddock 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 Alisa Craddock accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Alisa Craddock 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 Alisa Craddock was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.