Jody Puckett Crisp, MSN-FNP in Flat Rock, NC - Medicare Nurse Practitioner

Jody Puckett Crisp, MSN-FNP is a medicare enrolled "Nurse Practitioner - Family" in Flat Rock, North Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vidant Medical Group Llc, Outer Banks Professional Services, Llc and her current practice location is 571 S Allen Rd, Flat Rock, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 692-6178.

Jody Puckett Crisp is licensed to practice in North Carolina (license number 5012460) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275183147.

Contact Information

	Jody Puckett Crisp, MSN-FNP
	571 S Allen Rd, Flat Rock, NC 28731-9447
	(828) 692-6178
	(828) 692-2365

Map and Direction

Provider's Profile

Full Name	Jody Puckett Crisp
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	571 S Allen Rd, Flat Rock, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jody Puckett Crisp graduated from nursing school in 2019

NPI Data:

NPI Number: 1275183147
Provider Enumeration Date: 09/12/2019
Last Update Date: 08/17/2022

Medicare PECOS Information:

PECOS PAC ID: 4183057664
Enrollment ID: I20191216000323

Medical Identifiers

Medical identifiers for Jody Puckett Crisp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275183147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5012460 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5012460 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vidant Medical Group Llc	0345343893	850
Outer Banks Professional Services, Llc	3173652096	83

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jody Puckett Crisp allows following entities to bill medicare on her behalf.

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

Entity Name	Outer Banks Professional Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jody Puckett Crisp is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jody Puckett Crisp, MSN-FNP 571 S Allen Rd, Flat Rock, NC 28731-9447 Ph: (828) 692-6178	Jody Puckett Crisp, MSN-FNP 571 S Allen Rd, Flat Rock, NC 28731-9447 Ph: (828) 692-6178

Reviews and Comments

Nurse Practitioner Nurses in Flat Rock, NC

Jessica Jo Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-692-2365
Cynthia Gail Shahed, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-692-2365
Mrs. Penny Penland Stollery, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-692-2365
Daniell Miller Gold, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178
Kristan Leeann Johnson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-356-3998
Miteshbhai J Raval, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178 Fax: 828-692-2365
Stacie Lynn Raasch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 S Allen Rd, Flat Rock, NC 28731 Phone: 828-692-6178

Jody Puckett Crisp, MSN-FNP - Medicare Nurse Practitioner in Flat Rock, NC