NPIMap

Individual provider Active NPI

Crystal Carol Kizarr, APRN

  • Family Nurse Practitioner
  • Duncan, OK
National Provider Identifier
1053661181
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
72859 Issued in OK
Practice address
1324 N Harville Rd
Duncan, OK 73533-1514
Phone
(580) 252-1373
Fax
(580) 252-8336
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 72859 OK
Family Nurse Practitioner 363LF0000X 72859 OK Primary

Addresses

Primary practice location

1324 N Harville Rd
Duncan, OK 73533-1514

Mailing address

1324 N Harville Rd
Duncan, OK 73533-1514
Phone (580) 252-1373

Other practice location 1

1310 N Harville Rd
Duncan, OK 73533-1514
Phone (580) 252-9334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20121029000458 OK Practitioner - Nurse Practitioner 6002066081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 NW 31St St
Lawton, OK 73505-6100
Phone (580) 536-2121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.44 of 100Reported as group
Quality
82.93
Promoting interoperability
87
Improvement activities
40
Cost
48.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Centers of Southwest Oklahoma, LLC CurrentSince Jan 18, 2022 Accepting new patients
Cancer Centers of Southwest Oklahoma, LLC Current Accepting new patients
Duncan Regional Hospital, Inc Past Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations

2222 W Iowa Ave
Chickasha, OK 73018
Phone (405) 592-3937

1415 N Whisenant Dr
Ste 1
Duncan, OK 73533

104 NW 31st St
Lawton, OK 73505
Phone (580) 536-2121

Organizations & group practices 5

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053661181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 N HARVILLE RD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331514",
            "telephone_number": "580-252-1373",
            "fax_number": "580-252-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N HARVILLE RD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331514",
            "telephone_number": "580-252-1373",
            "fax_number": "580-252-8336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 N Harville Rd",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "OK",
            "postal_code": "735331514",
            "country_code": "US",
            "telephone_number": "580-252-9334",
            "fax_number": "580-252-9362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIZARR",
        "first_name": "CRYSTAL",
        "middle_name": "CAROL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "72859",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "72859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.