Crystal Alexander, AGPCNP-BC, RN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2021104539 Issued in MI

Practice address

2770 Freeland Rd Apt 73
Saginaw, MI 48604-9619

Phone

(989) 928-4629

NPI assigned

Jul 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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.

• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  NPD
• Wellness Within Jackson II

  • Obesity Medicine (Internal Medicine) Physician
  • Jackson, MI
  • NPI 1760109847
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1609549633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 FREELAND RD APT 73",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049619",
            "telephone_number": "989-928-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 FREELAND RD APT 73",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049619",
            "telephone_number": "989-928-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "CRYSTAL",
        "credential": "AGPCNP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704263539",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "2021104539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sccmha.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 Hancock St",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486024224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aleda E. Lutz VA Medical Center
• Aleda Lutz Vamc
• Abdul Aleem, M.D
• Destiny Leigh Aleman
• Courtney Alexander
• Florence Alexander, LLMSW
• Kelli Alexander, LPN
• Kristen A Alexander, M.A., CCC-SLP
• Rochellda Alexander, LMSW
• Ramadan Algamal

• Adult Health Nurse Practitioner in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.