NPIMap

Individual provider Active NPI

Crystal Cheri Buchanan, APRN

  • Family Nurse Practitioner
  • Sebree, KY
National Provider Identifier
1609330273
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013058 Issued in KY
Practice address
47 W Webster Street
Sebree, KY 42455
Phone
(270) 835-7541
Fax
(270) 835-7802
NPI assigned
Jan 28, 2019
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 3013058 KY Primary

Addresses

Primary practice location

47 W Webster Street
Sebree, KY 42455

Mailing address

PO Box 638706
Cincinnati, OH 45263-8706
Phone (270) 827-7558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305002998 KY Practitioner - Nurse Practitioner 7517206774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

47 W Webster St
Sebree, KY 42455-2112
Phone (270) 835-7541

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Health, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Deaconess Clinic Inc CurrentSince Jul 1, 2020 Accepting new patients
Deaconess Clinic, Inc Family CurrentSince Jul 1, 2020 Accepting new patients
Methodist Health, Inc. Family Current Accepting new patients
Methodist Health, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Deaconess Clinic, Inc Family Current Accepting new patients
Deaconess Clinic, Inc Past Accepting new patients

Locations

110 2nd St
Henderson, KY 42420
Phone (270) 826-4646

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1413 N Elm St
Ste 201
Henderson, KY 42420
Phone (270) 827-8662

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Interoperability endpoints

  • Direct secure messaging: cbuchanan209445@direct.deaconess.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1609330273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638706",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638706",
            "telephone_number": "270-827-7558",
            "fax_number": "270-827-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W WEBSTER STREET",
            "city": "SEBREE",
            "state": "KY",
            "postal_code": "42455",
            "telephone_number": "270-835-7541",
            "fax_number": "270-835-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "CRYSTAL",
        "middle_name": "CHERI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebree, KY

Sources for this page

Verify at the official NPI Registry.