Individual provider Active NPI

Crystle Renee Liebhart Meggenberg, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Morrison, IL
National Provider Identifier
1316770936
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.031556 Issued in IL
Practice address
303 N Jackson St
Morrison, IL 61270-3042
Phone
(815) 772-4003
NPI assigned
Aug 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X H178934 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.031556 IL Primary

Addresses

Primary practice location

303 N Jackson St
Morrison, IL 61270-3042

Mailing address

303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003

Other names 1

  • Crystle R Liebhart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250801002958 IL Practitioner - Nurse Practitioner 5294243168 Reassigns benefits to 2 organizations

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
Morrison Community Hospital DistrictGroup PAC ID 2466349907, 40 clinicians

Practice addresses (Care Compare)

657 W Lincolnway
Morrison, IL 61270-2056
Phone (815) 772-5567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H178934IAMDNurse Practitioner
209.031556ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Community Hospital District Nurse Practitioner CurrentSince May 12, 2025 Accepting new patients
Morrison Community Hospital District Psychiatric/Mental Health CurrentSince May 12, 2025 Accepting new patients
Morrison Community Hospital District Current Accepting new patients

Locations

657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1316770936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N JACKSON ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612703042",
            "telephone_number": "815-772-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N JACKSON ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612703042",
            "telephone_number": "815-772-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBHART MEGGENBERG",
        "first_name": "CRYSTLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H178934",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.031556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTLE",
            "last_name": "LIEBHART",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrison, IL

Sources for this page

Verify at the official NPI Registry.