Crystal Vance

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN92035-FNP-BC Issued in WV

Practice address

175 Township Road 1276
South Point, OH 45680-7315

Phone

(304) 633-0729

NPI assigned

Oct 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV, NC2 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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ih Physician Services PCGroup PAC ID 5991165458, 56 clinicians

Hospice of Huntington, Inc.Group PAC ID 3870572860, 5 clinicians

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as apm

Quality

82.44

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hospice of Huntington, Inc

  dba Tri-State LifeCare

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Huntington, WV
  • NPI 1972018646
  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD
• Ih Physician Services PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Southern Pines, NC
  • NPI 1447959093
  Medicare reassignment Care Compare group
• Hospice of Huntington, Inc

  dba Tri-State LifeCare in Ohio

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • South Point, OH
  • NPI 1740789080
  NPD
• Vidant Medical Group LLC

  dba Vidant Endoscopy Center-Kinston

  • Ambulatory Surgical Clinic/Center
  • Kinston, NC
  • NPI 1376049619
  NPD
• Ih Physician Services PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Raleigh, NC
  • NPI 1881405561
  NPD (past)

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

• Pitt County Memorial Hospital Inc

  dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687
  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  dba ECU Health Medical Center

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944
  Care Compare affiliation

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1073918330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TOWNSHIP ROAD 1276",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456807315",
            "telephone_number": "304-633-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TOWNSHIP ROAD 1276",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456807315",
            "telephone_number": "304-633-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN92035-FNP-BC",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16752-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115264",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810028359",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-State Telemed LLC
• Allison Truitt
• Lurie Tucker
• Ultimate Health Care, Inc
• Thomas I Valentine, CDCA
• Stephanie Dawn Vanover, MSW, LSW
• Stephen Ray Vansteenberg
• Petina Joyce Vazquez
• Victoria Lynn Vencill
• Rachel Vickers

• Family Nurse Practitioner in South Point, OH
• Providers in South Point, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.