Crystal N Massey, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902392 Issued in MS

Practice address

208 N 1St St
Booneville, MS 38829-2718

Phone

(662) 728-3313

Fax

(662) 728-5623

NPI assigned

Oct 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Friendship Medical Clinic LLCGroup PAC ID 0648275024, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Friendship Medical Clinic, LLC

  • Nurse Practitioner
  • Ecru, MS
  • NPI 1275586273
  Medicare reassignment Care Compare group NPD
• North Mississippi Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ashland, MS
  • NPI 1821092552
  Medicare reassignment NPD
• North Mississippi Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ripley, MS
  • NPI 1992190367
  NPD

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1144731985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "ASHLAND",
            "state": "MS",
            "postal_code": "386030092",
            "telephone_number": "662-224-8951",
            "fax_number": "662-224-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N 1ST ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388292718",
            "telephone_number": "662-728-3313",
            "fax_number": "662-728-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "CRYSTAL",
        "middle_name": "N",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSCE",
            "identifier": "902392",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickie Lawson, CMHT
• Lydia Jackson Lovell, CRNP
• Jose L Madara Jr.
• Kathy Haley Martin
• Lizette Martinez-Ramos
• Rebekah May
• Stephanie McLarty, LPTA
• Chelsea Cara McMillin, RN
• Joseph Waymon McNutt
• Medwell Plus, LLC

• Family Nurse Practitioner in Booneville, MS
• Providers in Booneville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.