Crystall Weidle, RN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA-18880 NP Issued in OH

Practice address

3143 Patrick CT
Franklin, OH 45005-9469

Phone

(513) 292-2540

NPI assigned

Mar 3, 2015

Last updated

Mar 3, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encore Clinical Services LLCGroup PAC ID 5991177313, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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.

• Encore Clinical Services LLC

  dba Medarbor Clinical Services

  • Nurse Practitioner
  • North Royalton, OH
  • NPI 1184346140

  Family

  Medicare reassignment Care Compare group NPD
• Wound Care Consultants LLC

  • Foot & Ankle Surgery Podiatrist
  • Parma, OH
  • NPI 1831495373

  Family

  Medicare reassignment NPD
• HCR Manorcare Medical Services of Florida LLC

  dba Heartland Care Partners

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420
  NPD
• Lake Effect Health

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1780156984
  NPD

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1760874523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 PATRICK CT",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450059469",
            "telephone_number": "513-292-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 PATRICK CT",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450059469",
            "telephone_number": "513-292-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDLE",
        "first_name": "CRYSTALL",
        "credential": "RN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 284411",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA-18880 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-3784)
• Wal-Mart Stores East, L.P. (Vision Center 30-3784)
• Walgreen Co (Walgreens #09733)
• James Michael Ward Jr., MD
• Amber Washington, PA
• Charlotte Anne Wells, LISW
• Karen L Wensyel, RN
• Angela Denise White, LPCC CEAP
• Wholelife Functional Medicine LLC
• Elwood Williams, OPTICIAN

• Family Nurse Practitioner in Franklin, OH
• Providers in Franklin, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.