NPIMap

Individual provider Active NPI

Crystal Lynn Andrews, CRNP

  • Family Medicine Physician
  • Waynesburg, PA
National Provider Identifier
1255947800
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP022505 Issued in PA
Practice address
1150 7TH St
Waynesburg, PA 15370-1660
Phone
(724) 627-8243
NPI assigned
Sep 18, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP022505 PA Primary

Addresses

Primary practice location

1150 7TH St
Waynesburg, PA 15370-1660

Mailing address

1150 7TH St
Waynesburg, PA 15370-1660
Phone (724) 963-5769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201130000471 PA Practitioner - Nurse Practitioner 8820409659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerville Clinics, Inc.Group PAC ID 7214837202, 44 clinicians

Practice addresses (Care Compare)

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801

1070 Old National Pike Rd
Fredericktown, PA 15333-2114
Phone (724) 632-6801

601 W George St
Carmichaels Clinic
Carmichaels, PA 15320-1325
Phone (724) 966-5081

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022505PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Clinics Inc Family Medicine CurrentSince Nov 18, 2020 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc CurrentSince Nov 18, 2020 Accepting new patients
Centerville Clinics, Inc. Family Medicine Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients

Locations

1070 Old National Pike
Fredericktown, PA 15333

1150 7th St
Waynesburg, PA 15370
Phone (724) 627-2395

Interoperability endpoints

  • Direct secure messaging: crystal.andrews.1@33484.direct.athenahealth.com

Organizations & group practices 7

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 8

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1255947800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 7TH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701660",
            "telephone_number": "724-963-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 7TH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701660",
            "telephone_number": "724-627-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP022505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

Verify at the official NPI Registry.