Crystal Brassfield

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

904836 Issued in MS

Practice address

2701 Davis St
Meridian, MS 39301-5708

Phone

(601) 693-0118

NPI assigned

Sep 17, 2021

Last updated

Sep 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Meridian Health Clinic, Inc.Group PAC ID 9032027834, 13 clinicians

Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJDBBA

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.

• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559
  Medicare reassignment Care Compare group NPD
• Greater Meridian Health Clinic, Inc.

  dba Scooba Family Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Scooba, MS
  • NPI 1962509208
  Medicare reassignment Care Compare group NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  MS

  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Greater Meridian Health Clinic, Inc

  dba GMHC Mobile Access Unit 2

  • Federally Qualified Health Center (FQHC)
  • Meridian, MS
  • NPI 1053046201
  NPD
• Greater Meridian Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Meridian, MS
  • NPI 1134225071
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Greater Meridian Health Clinic, Inc.

  dba GMHC Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Meridian, MS
  • NPI 1649371477
  NPD (past)
• Greater Meridian Health Clinic, Inc.

  dba GMHC, INC./MPSD West End/T J Harris Community School Base Clinic

  • Federally Qualified Health Center (FQHC)
  • Meridian, MS
  • NPI 1689187155
  NPD (past)

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1124798392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 WILLOW BEND DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393016920",
            "telephone_number": "601-934-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DAVIS ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015708",
            "telephone_number": "601-693-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSFIELD",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "904836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Marie Brady, NP
• Branch Medical Clinic Meridian
• Dana Brantley, APN
• Chad E. Brasher, OT
• Brassfield Group (AK Diagnostics Laboratory)
• Sydney Laikan Breazeale Achatz, LCSW
• Jennifer Brent
• Melissa Jodi Brents, M.D.
• Bailey Carson Brewer
• Jason Kotero Brewer, D.D.S

• Primary Care Nurse Practitioner in Meridian, MS
• Providers in Meridian, MS by specialty
• Primary Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.