Crystal Lee Lobe, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R179208-7 Issued in MN

Practice address

5219 Saint John Dr
Orr, MN 55771-8232

Phone

(218) 757-3431

NPI assigned

Jun 29, 2010

Last updated

Nov 20, 2015By 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

Other names 1

• Crystal Lee Pettinelli Former name

Medicare fee-for-service enrollment

Enrolled in MN

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bois Forte Reservation Tribal GovernmentGroup PAC ID 7517879778, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Virginia Hospital, Virginia, MN, CCN 240084
• Range Regional Health Services Hospital, Hibbing, MN, CCN 240040

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bois Forte Reservation Tribal Government

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Nett Lake, MN
  • NPI 1073530150
  Medicare reassignment Care Compare group NPD

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

• Essentia Health Virginia, LLC

  dba Essentia Health Virginia

  • General Acute Care Hospital
  • Virginia, MN
  • NPI 1083617120
  Care Compare affiliation
• Range Regional Health Services

  • General Acute Care Hospital
  • Hibbing, MN
  • NPI 1356321699
  Care Compare affiliation

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1174834709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 SAINT JOHN DR",
            "city": "ORR",
            "state": "MN",
            "postal_code": "557718232",
            "telephone_number": "218-757-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 SAINT JOHN DR",
            "city": "ORR",
            "state": "MN",
            "postal_code": "557718232",
            "telephone_number": "218-757-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBE",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R179208-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "PETTINELLI",
            "middle_name": "LEE",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Joseph Durie, MD
• Melissa Hawk, RN, PHN
• Raymond Lawrence Hawk, P.A.
• Charles R Helleloid, M.D.
• Jane Marie Lawrenz, M.A., L.P.
• Daniel J Lofgren, MS LP
• Theresa Ann Morrison, RN
• Paul Rasmussen, RN, CNP
• Michael Todd Rowlette, DDS

• Family Nurse Practitioner in Orr, MN
• Providers in Orr, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.