Crystal Lee, DNP, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Vilonia, AR
NPI 1114797883 · NPPES record last updated Aug 5, 2026
Key facts
- NPI
- 1114797883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 229585 (AR)
- Practice address
- 61 Weaver Cir
Vilonia, AR 72173-9014 - Phone
- (501) 574-2244
- NPI assigned
- Jan 4, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Appello Health and Wellness Clinic LLC
Reding and Leach MD PLLC
Practice addresses (Care Compare)
2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031
685 Shelby TRL
Suite 104
Conway, AR 72034-7169
Phone (501) 255-8100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240802000850 | AR | Practitioner - Nurse Practitioner | 7113464579 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R105940 | AR | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reding & Leach MD PLLC | Current |
Accepting new patients |
Locations
685 Shelby Trl
Ste 104
Conway, AR 72034
Phone (501) 255-8100
11501 Huron Ln
Ste 5
Little Rock, AR 72211
Phone (501) 904-4762
Interoperability endpoints
- crystal.lee.1@21565.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 229585 | AR | Yes |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R105940 | AR |
Addresses
Primary practice location
61 Weaver Cir
Vilonia, AR 72173-9014
Mailing address
701 South St Ste 100
Mountain Home, AR 72653-4452
Phone (501) 808-8224
Other providers in Vilonia, AR
- Wendy Lee Janski
- Jda Therapy and Wellness Services
- Drew Keller
- Kelly Stephens Counseling, LLC
- Brian Lane
- Maranda Marie Leonard
- Sherri Lorene Lewis
- David Justin Manning
- Kathryn Marsden
- Kyla Renee McCain
All providers in Vilonia, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2026. 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.
- 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.