Krystal Fallen Elliott, DNP, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Alva, OK
NPI 1487325478 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1487325478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 205584 (OK)
- Practice address
- 800 Share Dr
Alva, OK 73717-3618 - Phone
- (580) 327-2800
- NPI assigned
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alva Hospital Authority
Practice addresses (Care Compare)
800 Share Dr
Alva, OK 73717-3618
Phone (580) 430-3366
Hospital & facility affiliations
- Share Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.87 of 100
- Quality
- 33.38
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 67.03
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220131000160 | OK | Practitioner - Nurse Practitioner | 3779976576 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0113494 | OK | MD | Registered Nurse |
| 205584 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alva Hospital Authority | Current |
Accepting new patients | |
| Alva Hospital Authority/Dba Share Medical Center | Current |
Accepting new patients |
Locations
800 Share Dr
Ste 100
Alva, OK 73717
Phone (580) 430-3366
800 Share Dr
Alva, OK 73717
Phone (580) 327-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0113494 | OK | |
| Family Nurse Practitioner | 363LF0000X | 205584 | OK | Yes |
Addresses
Primary practice location
800 Share Dr
Alva, OK 73717-3618
Mailing address
1202 5TH St
Alva, OK 73717-3108
Phone (918) 927-4157
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kelliott@smcok.com | ||
| CONNECT URL | kelliott@smcok.com | Alva Hospital Authority/dba Share Medical Center |
Other providers in Alva, OK
- Karolyn Cole
- James Robert Colvert Jr.
- Kayla Cunningham
- Elizabeth B. Parkhurst, P.T.
- Geoffrey D Elliott
- Michael Duane Elsey
- Ferrell Chiropractic Health Center PLLC
- Melissa Elaine Fisher
- Sarah Fletcher
- Amber Forrest
All providers in Alva, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.