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

Kristen Elizabeth Wissbaum, NP

Individual provider Nurse Practitioner · NPI 1356972483

Kristen Elizabeth Wissbaum, NP is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2020, 6 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1725 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone: (910) 662-9300
Fax: (910) 662-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2131 S 17th St, Wilmington, NC 28401-7407 — (910) 667-4289

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5012734 (NC)

Record details

NPI number1356972483
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJuly 7, 2021
Certification dateMay 27, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilmington