Crystal Young, NP
Individual provider Active NPI Family Nurse Practitioner · Vidor, TX
NPI 1114566833 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1114566833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP144435 (TX)
- Practice address
- 2353 N Main St
Vidor, TX 77662-2610 - Phone
- (409) 813-1677
- NPI assigned
- Dec 27, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Texas Physician Services, PLLC
Diagnostic Group Integrated Healthcare System, PLLC
Practice addresses (Care Compare)
1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461
2353 N Main St
Diag GRP Vidor Fam Clin
Vidor, TX 77662-2610
Phone (409) 813-1677
Hospital & facility affiliations
- Christus Jasper Memorial Hospital
- Christus Southeast Texas- St Elizabeth
- Baptist Beaumont Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Harbor Hospice of Plano, LP |
Hospice | W-2 Managing Employee | May 20, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200116002759 | TX | Practitioner - Nurse Practitioner | 2466887609 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP144435 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Physician Services, PLLC | Current |
Accepting new patients | |
| Diagnostic Group Integrated Healthcare System PLLC | Family | Current |
Accepting new patients |
Locations
3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022
1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951
288 Country Lane Dr
Lumberton, TX 77657
Phone (409) 227-4413
2200 Highway 365
Nederland, TX 77627
Phone (409) 722-4321
600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111
1255 Highway 327 E
Silsbee, TX 77656
Phone (409) 384-8990
2353 N Main St
Vidor, TX 77662
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP144435 | TX | Yes |
Addresses
Primary practice location
2353 N Main St
Vidor, TX 77662-2610
Mailing address
3406 College St Ste 200
Beaumont, TX 77701-4612
Phone (409) 813-1677
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP144435 | Other | TX | APRN - TEXAS |
Other providers in Vidor, TX
- Stephanie Brooke Waldrep
- Walgreen Co
- Walgreens
- Brandy Lea Whisenant
- Winnie Community Hospital, L.L.C.
All providers in Vidor, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.