Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Crenshaw

Individual provider Family Nurse Practitioner · NPI 1790161263

Kelly Crenshaw is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2011, 15 years ago. Practices with Advaita Integrated Medicine PLLC, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2015
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6112 Saint Giles St
Raleigh, NC 27612-7043
Phone: (919) 893-4465
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3610 Bush St, Raleigh, NC 27609-7511 — (919) 876-3130

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5007819 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5007819 (NC)

Record details

NPI number1790161263
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2015
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Advaita Integrated Medicine Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Raleigh