Individual provider Active NPI

Crystalynn Mulligan, CRNP

  • Nurse Practitioner
  • Sellersville, PA
National Provider Identifier
1720679731
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN706889 Issued in PA
Practice address
670 Lawn Ave Ste 3a
Sellersville, PA 18960-1571
Phone
(215) 257-9500
Fax
(215) 257-3578
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN706889 PA Primary

Addresses

Primary practice location

670 Lawn Ave Ste 3a
Sellersville, PA 18960-1571

Mailing address

PO Box 1111
Harleysville, PA 19438-0907
Phone (215) 453-4995

Other names 1

  • Crystalynn Desmond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20210526001893 PA Practitioner - Nurse Practitioner 9739588658 Reassigns benefits to 2 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
Clinical Specialty AssociatesGroup PAC ID 5799295853, 165 clinicians

Practice addresses (Care Compare)

670 Lawn Ave
Sellersville, PA 18960-1571
Phone (267) 758-4933

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN706889PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Specialty Associates CurrentSince Oct 3, 2025 Accepting new patients
Clinical Specialty Associates Current Accepting new patients
Clinical Specialty Associates CurrentSince Oct 3, 2025 Accepting new patients
Grand View Hospital CurrentSince May 3, 2021 Accepting new patients
Grand View Hospital CurrentSince May 3, 2021 Accepting new patients

Locations

99 N West End Blvd
Ste 102
Quakertown, PA 18951
Phone (215) 538-0202

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

670 Lawn Ave
Ste 3A
Sellersville, PA 18960
Phone (267) 758-4933

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

Interoperability endpoints

  • Direct secure messaging: cmulligan321121@direct-sluhn.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1720679731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194380907",
            "telephone_number": "215-453-4995",
            "fax_number": "215-453-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LAWN AVE STE 3A",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601571",
            "telephone_number": "215-257-9500",
            "fax_number": "215-257-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "CRYSTALYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN706889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTALYNN",
            "last_name": "DESMOND",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.