Individual provider Active NPI

Chrystal Rogers, APRN

  • Primary Care Nurse Practitioner
  • Gracey, KY
National Provider Identifier
1326696907
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3013778 Issued in KY
Practice address
11329 Ebenezer Rd
Gracey, KY 42232-9672
Phone
(270) 985-5661
NPI assigned
Aug 28, 2019
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 30838 TN
Primary Care Nurse Practitioner 363LP2300X 3013778 KY Primary

Addresses

Primary practice location

11329 Ebenezer Rd
Gracey, KY 42232-9672

Mailing address

11329 Ebenezer Rd
Gracey, KY 42232-9672
Phone (270) 985-5661

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
I20200221000885 KY Practitioner - Nurse Practitioner 3870920333 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maanya LLCGroup PAC ID 5092016824, 9 clinicians

Practice addresses (Care Compare)

116 Main St
Cadiz, KY 42211-9163
Phone (270) 350-4504

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3013778KYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Jul 1, 2025 Accepting new patients
Crofton Clinic PSC CurrentSince Jan 1, 2020 Accepting new patients
Maanya LLC CurrentSince Jan 16, 2025 Accepting new patients
Maanya LLC CurrentSince Jan 16, 2025 Accepting new patients
Jennie Stuart Medical Center Inc PastSince Sep 1, 2019 Accepting new patients

Locations

116 Main St
Cadiz, KY 42211
Phone (270) 350-4504

250 Main St
#A
Cadiz, KY 42211
Phone (270) 250-4504

241 S Madisonville St
Crofton, KY 42217
Phone (270) 220-0240

446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

537 Spring St
Dover, TN 37058
Phone (502) 338-8884

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.

Hospital & facility affiliations 1

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1326696907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11329 EBENEZER RD",
            "city": "GRACEY",
            "state": "KY",
            "postal_code": "422329672",
            "telephone_number": "270-985-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11329 EBENEZER RD",
            "city": "GRACEY",
            "state": "KY",
            "postal_code": "422329672",
            "telephone_number": "270-985-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CHRYSTAL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "30838",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3013778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gracey, KY

Sources for this page

Verify at the official NPI Registry.