Individual provider Active NPI

Crystal Coren Lee Cook, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1568053098
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
113455 Issued in NE
Practice address
333 W Norfolk Ave Ste 201
Norfolk, NE 68701-5221
Phone
(402) 379-2030
Fax
(402) 379-3933
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113455 NE Primary

Addresses

Primary practice location

333 W Norfolk Ave Ste 201
Norfolk, NE 68701-5221

Mailing address

333 W Norfolk Ave Ste 201
Norfolk, NE 68701-5221
Phone (402) 379-2030

Other practice location 1

1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 564-4611

Other names 1

  • Crystal Coren Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210310001763 NE Practitioner - Nurse Practitioner 9537575865 Reassigns benefits to 3 organizations
I20250610003021 IA Practitioner - Nurse Practitioner 9537575865 Reassigns benefits to 2 organizations
I20251204002082 WI Practitioner - Nurse Practitioner 9537575865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Watertown Physician Practices LLCGroup PAC ID 8022329408, 64 clinicians
Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

123 Hospital Dr
Suite 110
Watertown, WI 53098-3320
Phone (920) 262-4800

1501 42ND St
Suite 575
West Des Moines, IA 50266-1060
Phone (855) 270-3625

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (855) 270-3625

Hospital & facility affiliations

  • Broadlawns Medical Center Hospital, Des Moines, IA, CCN 160101

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113455NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Watertown Physician Practices LLC CurrentSince Oct 1, 2025 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Jan 3, 2022 Accepting new patients
Black River Health Inc CurrentSince Dec 9, 2025 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Jan 3, 2022 Accepting new patients
Broadlawns Medical Center CurrentSince May 22, 2025 Accepting new patients
Watertown Physician Practices LLC Current Accepting new patients
Alivation Health, LLC CurrentSince Jan 4, 2021 Accepting new patients
Black River Health Inc CurrentSince Dec 9, 2025 Accepting new patients
Broadlawns Medical Center CurrentSince May 22, 2025 Accepting new patients
Oasis Counseling International CurrentSince Jul 8, 2024 Accepting new patients
Watertown Physician Practices LLC CurrentSince Oct 1, 2025 Accepting new patients
Evizzit of Iowa Psychiatry PC PastSince Dec 26, 2021 Accepting new patients

Locations

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1801 Hickman Rd
Ofc
Des Moines, IA 50314

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

8550 Cuthills Cir
Lincoln, NE 68526
Phone (402) 476-5686

8550 Cuthills Cir
Ste 100
Lincoln, NE 68526

301 N 27th St
Norfolk, NE 68701
Phone (402) 844-8000

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

333 W Norfolk Ave
Ste 201
Norfolk, NE 68701
Phone (402) 379-2030

221 W Douglas St
Oneill, NE 68763
Phone (402) 336-2800

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

123 Hospital Dr
Ste 110
Watertown, WI 53098
Phone (920) 261-0672

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1568053098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W NORFOLK AVE STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015221",
            "telephone_number": "402-379-2030",
            "fax_number": "402-379-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W NORFOLK AVE STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015221",
            "telephone_number": "402-379-2030",
            "fax_number": "402-379-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 N Mound St",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759614027",
            "country_code": "US",
            "telephone_number": "936-564-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE COOK",
        "first_name": "CRYSTAL",
        "middle_name": "COREN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "LEE",
            "middle_name": "COREN",
            "credential": "APRN, PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.