Crystal Lyn Ashburn
Individual provider Active NPI Family Nurse Practitioner · Saint Joseph, MO
NPI 1750870846 · NPPES record last updated May 4, 2018
Key facts
- NPI
- 1750870846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2018009259 (MO)
- Practice address
- 5514 Corporate Dr Ste 120
Saint Joseph, MO 64507-7754 - Phone
- (816) 271-1221
- Fax
- (816) 279-7794
- NPI assigned
- May 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heartland Regional Medical Center
Practice addresses (Care Compare)
5514 Corporate Dr
Suite 150
Saint Joseph, MO 64507-7763
Phone (816) 271-1220
Hospital & facility affiliations
- Mosaic Life Care at St Joseph
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- Quality
- 74.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180606001114 | MO | Practitioner - Nurse Practitioner | 5597020974 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018009259 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Regional Medical Center | Current |
Accepting new patients | |
| Heartland Regional Medical Center | Current |
Accepting new patients |
Locations
5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070
902 N Riverside Rd
Ste 100
Saint Joseph, MO 64507
Phone (816) 271-1241
5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406
5514 Corporate Dr
Ste 120
Saint Joseph, MO 64507
Phone (816) 271-1350
901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213
5514 Corporate Dr
Ste 150
Saint Joseph, MO 64507
Phone (816) 271-1221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018009259 | MO | Yes |
Addresses
Primary practice location
5514 Corporate Dr Ste 120
Saint Joseph, MO 64507-7754
Mailing address
5514 Corporate Dr Ste 150
Saint Joseph, MO 64507-7763
Phone (816) 271-1221
Other names
- Crystal Lyn Trant
Other providers in Saint Joseph, MO
- Marie Gene Arnold
- Sarah E Arnold
- Andre Joel Arsenault
- Ash Chiropractic LLC
- Kaitlin Merete Ash
- Mahaletwork Assefa
- Whitney B Atha
- Adriana Athon
- Kathy L Aubrey
- Audiology Systems Inc
All providers in Saint Joseph, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.