Crystal Greene, DNP CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R137229 Issued in MD

Practice address

2 Crain Hwy S
# 2B
Glen Burnie, MD 21061-3526

Phone

(410) 281-2566

NPI assigned

Oct 1, 2017

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Healthcare Training, Inc.Group PAC ID 0547624496, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Healthcare Training, Inc.

  dba Next Level Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
  • NPI 1689376287
  Medicare reassignment Care Compare group NPD Authorized official
• Exclusively Health & Wellness, Inc.

  • Primary Care Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1275194144
  NPD Authorized official
• Innovative Healthcare Training, Inc.

  dba Next Level Recovery

  • Community/Behavioral Health Agency
  • Glen Burnie, MD
  • NPI 1124776570
  NPD (past) Authorized official
• Innovative Healthcare Training, Inc.

  dba Next Level Recovery

  • Community/Behavioral Health Agency
  • Glen Burnie, MD
  • NPI 1407448103
  NPD (past) Authorized official
• Innovative Healthcare Training, Inc.

  dba Next Level Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hagerstown, MD
  • NPI 1417847039
  NPD (past) Authorized official
• Innovative Healthcare Training, Inc.

  dba Next Level Recovery

  • Adult Mental Health Clinic/Center
  • Glen Burnie, MD
  • NPI 1558952747
  NPD (past) Authorized official
• Innovative Healthcare Training, Inc.

  dba Next Level Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1306582267
  NPD (past)

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

{
    "created_epoch": "1506816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1689184947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 GWYNNDALE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076145",
            "telephone_number": "443-410-3570",
            "fax_number": "443-410-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CRAIN HWY S",
            "address_2": "# 2B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613526",
            "telephone_number": "410-281-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "DNP CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-01",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R137229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gene E Green, M.D.
• Rhe'a Green, PA-C
• Susan Jean Green, RN
• Tricia D Green, CNA
• Brenda Marie Greene, CRNP-PMH
• Jennifer Greenspun, LCSW-C
• Greenway Family Dentistry, LLC
• Greenway Orthodontics LLC
• Paula Jean Greer, CNM,MS.
• Allison Marie Gregory, MS, CCC-SLP

• Adult Health Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.