Individual provider Active NPI

Crystal Dawn Meyer, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Jackson, KY
National Provider Identifier
1295590396
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4015487 Issued in KY
Practice address
1484 Lakeside Dr
Jackson, KY 41339-6555
Phone
(606) 666-9950
Fax
(606) 666-9136
NPI assigned
Feb 19, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4015487 KY Primary

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240509002451 KY Practitioner - Nurse Practitioner 0749621670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juniper Health IncGroup PAC ID 2961453618, 22 clinicians

Practice addresses (Care Compare)

1484 Lakeside Dr
Jackson, KY 41339-7370
Phone (606) 666-9950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4015487KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Juniper Health Inc Current Accepting new patients
QPS LLC CurrentSince Mar 4, 2024 Accepting new patients
Juniper Health, Inc CurrentSince Mar 4, 2024 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

  • Direct secure messaging: crystal.meyer.p1@direct.juniperhealth.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1295590396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413110690",
            "telephone_number": "606-464-0151",
            "fax_number": "606-464-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 LAKESIDE DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413396555",
            "telephone_number": "606-666-9950",
            "fax_number": "606-666-9136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 W Main St",
            "address_purpose": "LOCATION",
            "city": "West Liberty",
            "state": "KY",
            "postal_code": "414722161",
            "country_code": "US",
            "telephone_number": "606-743-4808",
            "fax_number": "606-743-4716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2085 US Highway 460 E",
            "address_purpose": "LOCATION",
            "city": "Frenchburg",
            "state": "KY",
            "postal_code": "40322",
            "country_code": "US",
            "telephone_number": "606-768-3725",
            "fax_number": "606-464-0152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 N Ky 7",
            "address_purpose": "LOCATION",
            "city": "Sandy Hook",
            "state": "KY",
            "postal_code": "41171",
            "country_code": "US",
            "telephone_number": "606-738-9785",
            "fax_number": "859-317-2148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Plummer St",
            "address_purpose": "LOCATION",
            "city": "Campton",
            "state": "KY",
            "postal_code": "41301",
            "country_code": "US",
            "telephone_number": "606-668-7385",
            "fax_number": "606-668-7009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Beattyville",
            "state": "KY",
            "postal_code": "41311",
            "country_code": "US",
            "telephone_number": "606-464-2401",
            "fax_number": "606-464-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-07-09",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4015487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

Verify at the official NPI Registry.