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Individual provider Active NPI

Crystal Dawn Phipps, FNP

  • Family Nurse Practitioner
  • Mountain View, MO
National Provider Identifier
1003583147
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021028648 Issued in MO
Practice address
104 E US Highway 60
Mountain View, MO 65548-7381
Phone
(417) 934-2251
NPI assigned
Aug 26, 2021
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021028648 MO Primary

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

149 Rogers Ave
Summerville, MO 65571
Phone (417) 932-4119

Other practice location 2

9138 O'Banion St
Birch Tree, MO 65438
Phone (573) 292-3214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220413002601 MO Practitioner - Nurse Practitioner 6901292275 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, 1,121 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospices of America, LLC Family CurrentSince Jan 14, 2026 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 4, 2022 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Apr 4, 2022 Accepting new patients
Mercy Clinic Springfield Communities Past Accepting new patients
Ozarks Medical Center 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

100 W US Highway 60
Ste 2
Mountain View, MO 65548
Phone (417) 934-2251

104 E US Highway 60
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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1003583147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E US HIGHWAY 60",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655487381",
            "telephone_number": "417-934-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E US HIGHWAY 60",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655487381",
            "telephone_number": "417-934-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "MO",
            "postal_code": "65571",
            "country_code": "US",
            "telephone_number": "417-932-4119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9138 O'Banion St",
            "address_purpose": "LOCATION",
            "city": "Birch Tree",
            "state": "MO",
            "postal_code": "65438",
            "country_code": "US",
            "telephone_number": "573-292-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021028648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, MO

Sources for this page

Verify at the official NPI Registry.