Crystal Lea Smith, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

220892 Issued in OK

Practice address

1751 N Aspen Ave
Broken Arrow, OK 74012-1197

Phone

(918) 794-6008

NPI assigned

Nov 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pmo Medical PLLCGroup PAC ID 1153603832, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Grove Hospital Hospital, Grove, OK, CCN 370113
• Integris Miami Hospital Hospital, Miami, OK, CCN 370004

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Pmo Medical PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Broken Arrow, OK
  • NPI 1780054627
  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OK

  Medicare reassignment
• Pmo Medical PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • McAlester, OK
  • NPI 1437638228
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Integris Grove Hospital

  • General Acute Care Hospital
  • Grove, OK
  • NPI 1467473579
  Care Compare affiliation
• Integris Grove Hospital

  • Ambulance
  • Grove, OK
  • NPI 1770626608

  Hospital

  Care Compare affiliation
• Integris Miami Hospital

  • General Acute Care Hospital
  • Miami, OK
  • NPI 1114931342
  Care Compare affiliation
• Integris Miami Hospital

  • Ambulance
  • Miami, OK
  • NPI 1861534786

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1447073341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 N ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121197",
            "telephone_number": "918-794-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 N ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121197",
            "telephone_number": "918-794-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 S Grand St",
            "address_purpose": "LOCATION",
            "city": "Grove",
            "state": "OK",
            "postal_code": "743443225",
            "country_code": "US",
            "telephone_number": "918-794-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRYSTAL",
        "middle_name": "LEA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "220892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Naomi Smith, APRN-BC
• Carrol Smith, PH.D.
• Cayleigh Smith
• Chelsea Smith
• Cheryl L Smith, RD
• Dru Cody Smith, D.P.T.
• Jaqualyn A Smith
• Jason Michael Smith
• Jordon Caine Smith, D.D.S
• Kristen Smith, D.C.

• Acute Care Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Acute Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.

Verify at the official NPI Registry.