Crystal Gayle McVay, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9270126 Issued in FL

Practice address

1710 Lisenby Ave
Panama City, FL 32405-3730

Phone

(850) 807-4420

Fax

(850) 862-0605

NPI assigned

Sep 1, 2017

Last updated

Feb 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerald Coast Infectious Diseases Medical Group, P.a.Group PAC ID 5092753772, 35 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.

• Emerald Coast Infectious Diseases Medical Group, P.a.

  dba American Medical Group

  • Infectious Disease Physician
  • Fort Walton Beach, FL
  • NPI 1720017882
  Medicare reassignment Care Compare group NPD
• Emerald Coast Infectious Diseases Medical Group, PA

  dba Synergy Specialty Pharmacy

  • Community/Retail Pharmacy
  • Fort Walton Beach, FL
  • NPI 1154773950
  NPD

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1710405519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476651",
            "telephone_number": "850-862-3979",
            "fax_number": "850-862-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053730",
            "telephone_number": "850-807-4420",
            "fax_number": "850-862-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVAY",
        "first_name": "CRYSTAL",
        "middle_name": "GAYLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2024-02-15",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9270126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119971500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura McManus, LCSW
• Vanessa Kiyoko Lane McNally, M.S.
• Brittney McPhail, NP
• Renee McQueen, ED.D.
• Timothy Donald McShurley, M.D.
• John Robert McWhorter, DDS
• Robert Nelson Mead, M.D.
• Meaningful Life Counseling LLC
• Elizabeth Ashley Mears, APRN
• Jennifer Meaux, PA-C

• Adult Health Nurse Practitioner in Panama City, FL
• Providers in Panama City, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.