Individual provider Active NPI

Crystal Christopher

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, TX
National Provider Identifier
1093547507
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1203064 Issued in TX
Practice address
613 E Loop 456
Jacksonville, TX 75766-2152
Phone
(903) 721-7445
NPI assigned
Aug 14, 2024
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1203064 TX Primary

Addresses

Primary practice location

613 E Loop 456
Jacksonville, TX 75766-2152

Mailing address

613 E Loop 456
Jacksonville, TX 75766-2152
Phone (903) 721-7445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250616001541 TX Practitioner - Nurse Practitioner 3870004005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Point - Desoto LLCGroup PAC ID 0749679702, 27 clinicians

Practice addresses (Care Compare)

3443 W Wheatland Rd
Dallas, TX 75237-3459
Phone (469) 607-8778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1203064TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Point - Desoto LLC Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Total Point - Desoto LLC PastSince Apr 1, 2025 Accepting new patients

Locations

1601 Elm St
Ste 4210
Dallas, TX 75201

3443 W Wheatland Rd
Dallas, TX 75237
Phone (469) 844-4120

1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220

804 W Main St
Hallsville, TX 75650
Phone (430) 803-0519

1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1093547507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 E LOOP 456",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662152",
            "telephone_number": "903-721-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 E LOOP 456",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662152",
            "telephone_number": "903-721-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1203064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, TX

Sources for this page

Verify at the official NPI Registry.