Individual provider Active NPI

Crystal Marie Taylor, ARNP

  • Family Nurse Practitioner
  • Baxter Springs, KS
National Provider Identifier
1134437411
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-75174-052 Issued in KS
Practice address
445 E 10TH St
Baxter Springs, KS 66713-1614
Phone
(620) 856-3469
Fax
(620) 856-5330
NPI assigned
Sep 20, 2010
Last updated
Sep 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-75174-052 KS Primary

Addresses

Primary practice location

445 E 10TH St
Baxter Springs, KS 66713-1614

Mailing address

445 E 10TH St
Baxter Springs, KS 66713-1614
Phone (620) 856-3469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110715000117 KS Practitioner - Nurse Practitioner 2062680150 Reassigns benefits to 2 organizations
I20150226001711 MO Practitioner - Nurse Practitioner 2062680150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-2300

111 E 7TH St
Galena, KS 66739-1229
Phone (620) 783-1358

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-75174-052KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Mar 12, 2017 Accepting new patients

Locations

111 E 7th St
Galena, KS 66739
Phone (620) 783-1358

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

Interoperability endpoints

  • Direct secure messaging: ctaylor202046@directc.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1134437411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E 10TH ST",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667131614",
            "telephone_number": "620-856-3469",
            "fax_number": "620-856-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E 10TH ST",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667131614",
            "telephone_number": "620-856-3469",
            "fax_number": "620-856-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75174-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter Springs, KS

Sources for this page

Verify at the official NPI Registry.