NPIMap

Individual provider Active NPI

Crystal D Brown, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Mount Vernon, KY
National Provider Identifier
1063494045
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1841P Issued in KY
Practice address
140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone
(606) 256-5176
Fax
(606) 256-5191
NPI assigned
Nov 16, 2005
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1841P KY Primary

Addresses

Primary practice location

140 Newcomb Ave
Mount Vernon, KY 40456-2725

Mailing address

140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone (606) 256-5176

Other identifiers 4

IdentifierTypeStateIssuer
1841POtherKYLICENSE
78000684MedicaidKY
000000046065OtherBS
7528229OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20091103000711 KY Practitioner - Nurse Practitioner 4880732320 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockcastle County Hospital, Inc.Group PAC ID 6103727433, 38 clinicians

Practice addresses (Care Compare)

140 Newcomb Ave
Mt Vernon, KY 40456-2728
Phone (606) 256-4148

145 Newcomb Ave
Mount Vernon, KY 40456-2728

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1841PKYMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockcastle County Hospital, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic Current Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Nov 30, 2015 Accepting new patients
Rockcastle County Hospital, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Bluegrass Clinic Stanford, PLLC CurrentSince Aug 24, 2009 Accepting new patients
Ephraim McDowell Health Resource, Inc Obstetrics & Gynecology CurrentSince Nov 30, 2015 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Bates Miller & Sims PLLC CurrentSince Apr 1, 2024 Accepting new patients
Waynesburg Clinic, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Ephraim McDowell Health Resource, Inc Obstetrics & Gynecology Current Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients
Cumberland Family Medical Center Inc PastSince Apr 2, 1993 Accepting new patients
Bluegrass Clinic Liberty, PLLC PastSince Sep 13, 2015 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

100 Jay St
Stanford, KY 40484
Phone (606) 365-1547

107 Metker Trl
Ste A
Stanford, KY 40484
Phone (606) 365-1547

125 Portman Ave
Stanford, KY 40484
Phone (606) 365-3378

14098 US Highway 27 S
Waynesburg, KY 40489
Phone (606) 379-6646

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1063494045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-5176",
            "fax_number": "606-256-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-5176",
            "fax_number": "606-256-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "KY",
            "license": "1841P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1841P",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78000684",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "000000046065",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7528229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.