KELLY CRENSHAW
NPI 1790161263
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC
About Kelly Crenshaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CRENSHAW (NPI 1790161263) is an individual psychiatric/mental health provider in Raleigh, North Carolina, licensed in North Carolina (5007819) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Raleigh, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Kelly Crenshaw 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 Reassignment
Medicare enrollment records show Kelly Crenshaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27609
- Reassigned Medicare billing, North Carolina enrollment
- 25 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RALEIGH, NC 27612
RALEIGH, NC 27612
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 Kelly Crenshaw's NPI number?
The NPI number for Kelly Crenshaw is 1790161263. It was assigned to this individual provider in the NPPES registry on August 6, 2015.
Where is Kelly Crenshaw located?
Kelly Crenshaw practices at 6112 Saint Giles St, Raleigh, NC 27612. The listed phone number is (919) 893-4465.
What is Kelly Crenshaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelly Crenshaw enrolled in Medicare?
Yes. Kelly Crenshaw 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 organization bills Medicare for Kelly Crenshaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Crenshaw reassigns Medicare benefits to Advaita Integrated Medicine PLLC (Raleigh, NC). The 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 Kelly Crenshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Crenshaw accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Kelly Crenshaw 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 Kelly Crenshaw was last updated on December 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.
# Kelly Crenshaw · NPI 1790161263
Psychiatric/Mental Health physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since August 6, 2015.
## Identity
- **NPI:** 1790161263 (Entity type: Individual)
- **Enumerated:** August 6, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 5007819 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6112 SAINT GILES ST, Raleigh, NC 27612-7043
- **Phone:** (919) 893-4465
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advaita Integrated Medicine PLLC (NPI 1437727088, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** December 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790161263) · Data from the CMS NPPES public registry.