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

Mr. Charles Dennis Crisp Jr.

Individual provider Nurse Practitioner · NPI 1255919452

Mr. Charles Dennis Crisp Jr. is a Nurse Practitioner in Lenoir, North Carolina. Qualified in 2020, 6 years ago. Practices with Caldwell Hospice and Palliative Care Inc, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

902 Kirkwood Ave NW
Lenoir, NC 28645-5121
Phone: (828) 754-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5014266 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5014266 (NC)

Record details

NPI number1255919452
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022

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 Caldwell Hospice And Palliative Care Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lenoir