Individual provider Active NPI

Krystal Sherrill, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1497208185
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131425 Issued in TX
Practice address
3419 22ND St
Lubbock, TX 79410-1334
Phone
(806) 796-3000
Fax
(806) 796-3006
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131425 TX Primary

Addresses

Primary practice location

3419 22ND St
Lubbock, TX 79410-1334

Mailing address

3419 22ND St
Lubbock, TX 79410-1334
Phone (806) 796-3000

Other names 1

  • Krystal Glover Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160921001376 TX Practitioner - Nurse Practitioner 8224325170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates, PLLCGroup PAC ID 5890693402, 37 clinicians

Practice addresses (Care Compare)

3419 22ND St
Lubbock, TX 79410-1334
Phone (806) 796-3000

Hospital & facility affiliations

  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Brownfield Regional Medical Center Hospital, Brownfield, TX, CCN 450399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131425TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, PLLC CurrentSince Aug 12, 2024 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1497208185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101334",
            "telephone_number": "806-796-3000",
            "fax_number": "806-796-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101334",
            "telephone_number": "806-796-3000",
            "fax_number": "806-796-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "KRYSTAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "GLOVER",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.