Active NPI
Crystalynn Mulligan, CRNP
- Nurse Practitioner
- Sellersville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN706889
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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)
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN706889 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Specialty Associates | Current | Accepting new patients | |
| Clinical Specialty Associates | Current | Accepting new patients | |
| Clinical Specialty Associates | Current | Accepting new patients | |
| Grand View Hospital | Current | Accepting new patients | |
| Grand View Hospital | Current | 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
- 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Bala Cynwyd, PA
- NPI 1184431900
-
- Cardiovascular Disease Physician
- Sellersville, PA
- NPI 1669802542
-
- Family Medicine Physician
- Bala Cynwyd, PA
- NPI 1285422238
-
- Infectious Disease Physician
- Bala Cynwyd, PA
- NPI 1932992609
-
- Neurology Physician
- Sellersville, PA
- NPI 1699321570
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
-
- General Acute Care Hospital
- Quakertown, PA
- NPI 1669405072
-
- General Acute Care Hospital
- Sellersville, PA
- NPI 1568459287
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.