Crystal Dawn Meyer, MSN, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Jackson, KY
NPI 1295590396 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1295590396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4015487 (KY)
- Practice address
- 1484 Lakeside Dr
Jackson, KY 41339-6555 - Phone
- (606) 666-9950
- Fax
- (606) 666-9136
- NPI assigned
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Juniper Health Inc
Practice addresses (Care Compare)
1484 Lakeside Dr
Jackson, KY 41339-7370
Phone (606) 666-9950
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240509002451 | KY | Practitioner - Nurse Practitioner | 0749621670 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4015487 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juniper Health, Inc | Current |
Accepting new patients | |
| QPS LLC | Current |
Accepting new patients | |
| Juniper Health Inc | Current | Accepting new patients | |
| Juniper Health Inc | Past | Accepting new patients | |
| Juniper Health Inc | Past | Accepting new patients |
Locations
1025 Grand Ave
Beattyville, KY 41311
Phone (606) 464-2401
2085 US Highway 460 E
Frenchburg, KY 40322
Phone (606) 768-3725
1484 Lakeside Dr
Jackson, KY 41339
Phone (606) 666-9950
Interoperability endpoints
- crystal.meyer.p1@direct.juniperhealth.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4015487 | KY | Yes |
Addresses
Primary practice location
1484 Lakeside Dr
Jackson, KY 41339-6555
Mailing address
PO Box 690
Beattyville, KY 41311-0690
Phone (606) 464-0151
Other practice location 1
1219 W Main St
West Liberty, KY 41472-2161
Phone (606) 743-4808
Other practice location 2
2085 US Highway 460 E
Frenchburg, KY 40322
Phone (606) 768-3725
Other practice location 3
308 N Ky 7
Sandy Hook, KY 41171
Phone (606) 738-9785
Other practice location 4
202 Plummer St
Campton, KY 41301
Phone (606) 668-7385
Other practice location 5
1025 Grand Ave
Beattyville, KY 41311
Phone (606) 464-2401
Other providers in Jackson, KY
- Aloysius Francis Meives IV
- Edgar A D Mendoza
- Pablo Alabanza Merced
- Peter Anthony Merced
- Mercy Clinic of Jackson, PLLC
- Robert Scott Moore
- Trudy Ann Moore
- James Brian Morris
- Jonathan Charles Morris
- Mother of Good Counsel
All providers in Jackson, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.