Individual provider Active NPI

Crystal Ann Hollenbeck, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1407532138
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP002927 Issued in SD
Practice address
550 N 5TH St Ste 317
Rapid City, SD 57701-1375
Phone
(605) 760-8330
Fax
(605) 307-5509
NPI assigned
Jun 27, 2023
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R039082 SD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP002927 SD Primary

Addresses

Primary practice location

550 N 5TH St Ste 317
Rapid City, SD 57701-1375

Mailing address

550 N 5TH St Ste 317
Rapid City, SD 57701-1375
Phone (605) 760-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20230928001942 SD Practitioner - Nurse Practitioner 0941654693 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
Manlove Psychiatric Group PCGroup PAC ID 8921098138, 11 clinicians

Practice addresses (Care Compare)

636 Saint Anne St
Rapid City, SD 57701-4694
Phone (605) 348-8000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manlove Psychiatric Group, P.C. CurrentSince Sep 1, 2023 Accepting new patients
Crystal Clear Mental Health, PLLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

550 N 5th St
Ste 317
Rapid City, SD 57701
Phone (605) 519-5398

636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000

636 Saint Anne St
Ste 100
Rapid City, SD 57701
Phone (605) 348-8000

Interoperability endpoints

  • Direct secure messaging: manlovegroup.crystalhollenbeck@159086.advancedmd-direct.com

Organizations & group practices 2

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1407532138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N 5TH ST STE 317",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011375",
            "telephone_number": "605-760-8330",
            "fax_number": "605-307-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N 5TH ST STE 317",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011375",
            "telephone_number": "605-760-8330",
            "fax_number": "605-307-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "R039082",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP002927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.