Individual provider Active NPI

Crystal Jean Oneal, NP-C

  • Adult Health Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1114494077
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
97660 Issued in OK
Practice address
10337 Paisley Rd
Yukon, OK 73099-7859
Phone
(405) 408-9753
NPI assigned
Oct 30, 2018
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 97660 OK Primary
Gerontology Nurse Practitioner 363LG0600X 97660 OK
Primary Care Nurse Practitioner 363LP2300X 00097660 OK

Addresses

Primary practice location

10337 Paisley Rd
Yukon, OK 73099-7859

Mailing address

10337 Paisley Rd
Yukon, OK 73099-7859

Other names 1

  • Ms. Crystal Jeal Deal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20260316003183 MO Practitioner - Nurse Practitioner 2062995244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13700 Old Halls Ferry Rd
Black Jack, MO 63033-4109
Phone (314) 355-0760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97660OKMDAdult Health Nurse Practitioner
00097660OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health of Missouri LLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

13700 Old Halls Ferry Rd
Black Jack, MO 63033
Phone (314) 355-0760

Organizations & group practices 1

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1114494077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10337 PAISLEY RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10337 PAISLEY RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997859",
            "telephone_number": "405-408-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEAL",
        "first_name": "CRYSTAL",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "97660",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "97660",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "00097660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "DEAL",
            "middle_name": "JEAL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.