Active NPI
Crystal Lynne Walls, CRNP
- Family Nurse Practitioner
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R156273
- Practice address
- Western Maryland Health System
12500 Willowbrook Rd
Cumberland, MD 21502 - Phone
- (240) 964-7000
- NPI assigned
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R156273 | MD | Primary |
Addresses
Primary practice location
Western Maryland Health System
12500 Willowbrook Rd
Cumberland, MD 21502
Mailing address
15 S Centre St
Cumberland, MD 21502-3017
Phone (403) 627-2792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15 S Centre St
Cumberland, MD 21502-3017
Phone (240) 362-7279
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med 1St Walkin Clinic and Primary Care | Current | Accepting new patients | |
| Med 1St Walkin Clinic and Primary Care | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Past | Accepting new patients |
Locations
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
10701 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (301) 689-2941
23789 Garrett Hwy
Mc Henry, MD 21541
Phone (240) 488-4139
45 Hunt Club Dr
Ridgeley, WV 26753
Phone (304) 726-4501
Interoperability endpoints
- https://fhir.meditouchehr.com/api/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 and National Provider Directory roles.
-
- Family Medicine Physician
- Cumberland, MD
- NPI 1831838762
-
dba UPMC Western Maryland
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cumberland, MD
- NPI 1912628256
-
dba UPMC Western Maryland
- Urgent Care Clinic/Center
- Frostburg, MD
- NPI 1952495079
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Upmc Western Maryland Center for Hope and Healing
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
dba UPMC Western Maryland
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
dba UPMC Western Maryland
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
-
dba UPMC Western Maryland
- Clinic/Center
- Cumberland, MD
- NPI 1780251850
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1396222998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 S CENTRE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215023017",
"telephone_number": "403-627-2792",
"fax_number": "240-362-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WESTERN MARYLAND HEALTH SYSTEM",
"address_2": "12500 WILLOWBROOK RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "21502",
"telephone_number": "240-964-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "CRYSTAL",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R156273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.