NPIMap

Individual provider Active NPI

Crystal Lynn Kibler, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Russellville, AR
National Provider Identifier
1629679279
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
125821 Issued in AR
Practice address
108 Skyline Dr
Russellville, AR 72801-3362
Phone
(479) 968-7170
Fax
(479) 968-7607
NPI assigned
Nov 2, 2020
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 125821 AR Primary

Addresses

Primary practice location

108 Skyline Dr
Russellville, AR 72801-3362

Mailing address

PO Box 9662
Conway, AR 72033-9662
Phone (501) 852-1363

Other names 1

  • Miss Crystal Lynn Baker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20230724002307 AR Practitioner - Nurse Practitioner 8022478957 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

437 Denison St
Suite 2
Conway, AR 72034-6127
Phone (501) 504-2330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2022 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Jul 1, 2023 Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2022 Accepting new patients
Conway Regional Medical Center Inc Current Accepting new patients
Conway Regional Medical Center, Inc CurrentSince Jul 1, 2023 Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

525 Western Ave
Ste 304
Conway, AR 72034
Phone (501) 327-7555

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

200 N 3rd St
Ste 1
Dardanelle, AR 72834
Phone (479) 229-6191

108 Skyline Dr
Russellville, AR 72801
Phone (479) 968-7170

Organizations & group practices 8

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 7

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1629679279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9662",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720339662",
            "telephone_number": "501-852-1363",
            "fax_number": "501-852-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013362",
            "telephone_number": "479-968-7170",
            "fax_number": "479-968-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "125821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BAKER",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.