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

Active since February 23, 2010PECOS Enrolled
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: November 01, 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 and maintains a secondary practice location in Warsaw.

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
Phone(910) 592-1462
Fax(910) 808-1040
Sole ProprietorYes
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Alisa Rochelle Craddock Fnp-c 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alisa Craddock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Goshen Medical Center Incorporated
Same address
Federally Qualified Health Center (FQHC)
906 US HIGHWAY 421
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • 173 clinicians in this Medicare group
NPI 1073638557 (910) 592-1462
Geriatric Consultants PLLC
177 mi
Geriatric Medicine
220 13TH AVENUE PL NW
Hickory, NC 28601
  • Reassigned Medicare billing, North Carolina enrollment
  • 67 clinicians in this Medicare group
NPI 1801478086 (914) 843-9637

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 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.

KARI LEANNE BARNETT NP
Nurse Practitioner (Family)
906 N US HIGHWAY 421
CLINTON, NC 28328
Sampson County (910) 592-1462

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 enrollment system.

Which organizations bill Medicare for Alisa Craddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Craddock reassigns Medicare benefits to 2 organizations: Goshen Medical Center Incorporated (Clinton, NC) and Geriatric Consultants PLLC (Hickory, 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 Alisa Craddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alisa Craddock accept?

Health plans from Cigna Healthcare 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 2 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.