Individual provider Active NPI

Crystal Joy Dyer, FNP-C

  • Family Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1053861609
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016036097 Issued in MO
Practice address
1901 E 32ND St
Suite 20
Joplin, MO 64804-3072
Phone
(417) 781-2046
Fax
(417) 781-2086
NPI assigned
Oct 6, 2016
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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 2016036097 MO Primary

Addresses

Primary practice location

1901 E 32ND St
Suite 20
Joplin, MO 64804-3072

Mailing address

1901 E 32ND St
Suite 20
Joplin, MO 64804-3072
Phone (417) 781-2046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161122000054 MO Practitioner - Nurse Practitioner 3476832189 Reassigns benefits to 2 organizations
I20170818003017 KS Practitioner - Nurse Practitioner 3476832189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McPherson Medical and Diagnostic LLCGroup PAC ID 5698773539, shared by 11 NPIs, 88 clinicians

Practice addresses (Care Compare)

1605
Galena, KS 66739-4306
Phone (417) 310-9286

16216 Baxter Rd
Chesterfield, MO 63017-4778
Phone (636) 449-4700

216 W Main St
Steele, MO 63877-1436
Phone (573) 695-2181

223 S 3Rd St
Hayti, MO 63851-1617
Phone (573) 717-1072

304 Teaco Rd
Suite a
Kennett, MO 63857-3268
Phone (573) 717-1072

3071 S Grand Ave
Carthage, MO 64836-7851
Phone (417) 310-9286

433 S Garrison Ave
American Medical Missouri
Carthage, MO 64836-1749
Phone (417) 359-8646

915 W Maple St
Columbus, KS 66725-1508
Phone (417) 310-9288

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016036097MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC CurrentSince Sep 1, 2023 Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince Sep 1, 2023 Accepting new patients
McPherson Medical & Diagnostic LLC CurrentSince Sep 1, 2023 Accepting new patients
McPherson Medical & Diagnostic LLC Current Accepting new patients
Manzer Family Medicine, LLC CurrentSince Mar 20, 2017 Accepting new patients
McPherson Medical & Diagnostic, LLC Past Accepting new patients

Locations

915 W Maple St
Columbus, KS 66725
Phone (417) 310-9286

1605 K66
Ste A
Galena, KS 66739
Phone (417) 310-9286

3071 S Grand Ave
Carthage, MO 64836
Phone (417) 310-9286

304 Teaco Rd
Ste A
Kennett, MO 63857
Phone (573) 559-3591

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

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 3

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1053861609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 32ND ST",
            "address_2": "SUITE 20",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043072",
            "telephone_number": "417-781-2046",
            "fax_number": "417-781-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 32ND ST",
            "address_2": "SUITE 20",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043072",
            "telephone_number": "417-781-2046",
            "fax_number": "417-781-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "CRYSTAL",
        "middle_name": "JOY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016036097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.