KRYSTAL LEE NEEDHAM NP NPI 1629537386

NPI Information

  • NPI: 1629537386
  • Provider Name: KRYSTAL LEE NEEDHAM, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 905 THUNDER RD STE 140
    ELIZABETH CITY, NC
    ZIP 27909
  • Phone: (252) 334-0320

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NPI Details

Krystal Lee Needham, NP is a family nurse practitioner in Elizabeth City, NC with 7 years of experience. Krystal Lee Needham, NP NPI is 1629537386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

905 THUNDER RD STE 140
ELIZABETH CITY, NC
ZIP 27909-672
Phone: (252) 334-0320

The NPI 1629537386 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Automated urinalysis test (HCPCS:81003)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) (HCPCS:G0296)

The enumeration date for this NPI number is 3/13/2019 and was last updated on 12/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily5011563NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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