Crystal Dawn Phipps, FNP
Individual provider Active NPI Family Nurse Practitioner · Mountain View, MO
NPI 1003583147 · NPPES record last updated Apr 21, 2022
Key facts
- NPI
- 1003583147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2021028648 (MO)
- Practice address
- 104 E US Highway 60
Mountain View, MO 65548-7381 - Phone
- (417) 934-2251
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
104 E US Hwy 60
MC Family Medicine Mountain View
Mountain View, MO 65548-7381
Phone (417) 934-2251
Hospital & facility affiliations
- Elara Caring
- Mercy St Francis Hospital
- Mercy Hospital Springfield
- Texas County Memorial Hospital
- Ozarks Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220413002601 | MO | Practitioner - Nurse Practitioner | 6901292275 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospices of America, LLC | Family | Current |
Accepting new patients |
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Family | Current |
Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients | |
| Mercy Clinic Springfield Communities | Past | Accepting new patients |
Locations
9138 Obanion St
Birch Tree, MO 65438
Phone (573) 292-3213
1602C N Main St
Mountain Grv, MO 65711
Phone (417) 926-4146
104 E US Highway 60
Mountain View, MO 65548
Phone (417) 934-1738
100 W US Highway 60
Ste 2
Mountain View, MO 65548
Phone (417) 934-2251
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2021028648 | MO | Yes |
Addresses
Primary practice location
104 E US Highway 60
Mountain View, MO 65548-7381
Mailing address
104 E US Highway 60
Mountain View, MO 65548-7381
Phone (417) 934-2251
Other practice location 1
9138 O'Banion St
Birch Tree, MO 65438
Phone (573) 292-3214
Other practice location 2
149 Rogers Ave
Summerville, MO 65571
Phone (417) 932-4119
Other providers in Mountain View, MO
- Mercy St. Francis Hospital
- Mountain View-Birch Tree School Dist R 3
- Brittany Paige Nickelson
- Brett Catherine Niehaus
- Lydia Rose Orr
- Amanda Pyrlik
- Qasim M. Bajwa, LLC
- Makenzie Risse
- Amanda Patricia Riviello
- RKJ Holdings LLC
All providers in Mountain View, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.