Crystal Chick, AGPC-NP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

63441 Issued in NM

Practice address

4901 Lang Ave NE
Albuquerque, NM 87109-4397

Phone

(505) 842-8171

Fax

(505) 246-0684

NPI assigned

Sep 20, 2019

Last updated

May 18, 2022By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO, NM2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Mexico Oncology Hematology Consultants LTDGroup PAC ID 3577533447, 66 clinicians

Albuquerque- Amg Specialty Hospital, LLCGroup PAC ID 4385808229, 19 clinicians

KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians

Infectious Disease Specialists LLCGroup PAC ID 7214974971, 12 clinicians

Vitality Health and Wellness Clinic Integrative Medicine LLCGroup PAC ID 7214427269, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ambercare Home Health Home health agency, Belen, NM, CCN 327123
• Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Merit-based Incentive Payment System (MIPS)

Final score

88.51 of 100Reported as group

Quality

93.17

Promoting interoperability

93

Improvement activities

40

Cost

74.35

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18545/brand/1/csg/1/fhir/r4

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.

• Albuquerque Amg Specialty Hospital, LLC

  • Long Term Care Hospital
  • Albuquerque, NM
  • NPI 1518232842
  Medicare reassignment Care Compare group NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1215266754
  Medicare reassignment Care Compare group NPD
• New Mexico Oncology Hematology Consultants, LTD.

  • Hematology & Oncology Physician
  • Albuquerque, NM
  • NPI 1164475232
  Medicare reassignment Care Compare group NPD
• Vitality Health and Wellness Clinic Integrative Medicine LLC

  • Family Nurse Practitioner
  • Los Lunas, NM
  • NPI 1821978289
  Medicare reassignment Care Compare group NPD
• Infectious Disease Specialists, LLC

  • Infectious Disease Physician
  • Las Vegas, NV
  • NPI 1558427526

  NM

  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CO, Nurse Practitioner

  Medicare reassignment NPD
• St Lukes Medical Clinic LLC

  • Internal Medicine Physician
  • Fort Collins, CO
  • NPI 1407953581
  Medicare reassignment NPD
• KND Development 59, LLC

  dba Specialty Hospitals Broken Arrow

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD

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

• Ambercare Home Health Care Corporation

  dba Ambercare Home Health

  • Home Health Agency
  • Belen, NM
  • NPI 1336117621
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Kaseman Psych Unit

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1598740482
  Care Compare affiliation

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1285285395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094397",
            "telephone_number": "505-842-8171",
            "fax_number": "505-246-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094397",
            "telephone_number": "505-842-8171",
            "fax_number": "505-246-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICK",
        "first_name": "CRYSTAL",
        "credential": "AGPC-NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0995019-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "63441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000178403",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63789337",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina CHI, PHARM D
• Charles Chiang, M.D.
• Christina Yi Chiang, MD
• Jonathan Y Chiang, DDS
• Jacob J Chicas
• Kevin Chick, DC
• Chris Chickering
• Ifeoma Chiegboka
• Becky Dinh Chiem, D.D.S
• Kanayo Chiemelu

• Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.