Crystal Frye, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4021982 Issued in KY

Practice address

312 S 4TH St Ste 700
Louisville, KY 40202-3046

Phone

(574) 546-1900

Fax

(574) 546-1999

NPI assigned

May 31, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurology and Pain Management Associates PCGroup PAC ID 4486676095, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Neurology and Pain Management Associates PC

  • Internal Medicine Physician
  • Crown Point, IN
  • NPI 1518900620

  KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY, Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1174363568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 WILDLIFE RD",
            "city": "CAVE CITY",
            "state": "KY",
            "postal_code": "421278677",
            "telephone_number": "304-859-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S 4TH ST STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023046",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "458 Wildlife Rd",
            "address_purpose": "LOCATION",
            "city": "Cave City",
            "state": "KY",
            "postal_code": "421278677",
            "country_code": "US",
            "telephone_number": "304-859-7517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYE",
        "first_name": "CRYSTAL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4021982",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "4021982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Fruits, CRNA
• Samantha Fruth, DPT
• Helen Regina Fry, CRNA
• Jessica Fry, FNP-C
• Beverly Frye, M.D.
• Skyler Frye, APRN
• Wanda Fryer
• Erin Louise Fryman, PHARMD
• Whitney Somer Fryman, L.M.T.
• FS Kentucky One LLC

• Gerontology Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Gerontology Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.