NPIMap

Individual provider Active NPI

Crystal Neises, APRN

  • Family Nurse Practitioner
  • Cassville, MO
National Provider Identifier
1770020141
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023000179 Issued in MO
Practice address
92 Main St
Cassville, MO 65625-1610
Phone
(417) 547-5225
NPI assigned
Jan 24, 2017
Last updated
Apr 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-77516-052 KS
Family Nurse Practitioner 363LF0000X 2023000179 MO Primary

Addresses

Primary practice location

92 Main St
Cassville, MO 65625-1610

Mailing address

92 Main St
Cassville, MO 65625-1610
Phone (417) 547-5225

Other practice location 1

536 W 4th Ave
Garnett, KS 66032-1355
Phone (785) 448-2674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170321000414 KS Practitioner - Nurse Practitioner 5991080608 Reassigns benefits to 2 organizations
I20230406001774 MO Practitioner - Nurse Practitioner 5991080608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1605 Martin Springs Dr
Rolla, MO 65401-2980

3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 888-6735

92 Main St
Cassville, MO 65625-1610
Phone (417) 820-3911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-77516-052KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Emergency Medicine Associates,PA CurrentSince Nov 1, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 10, 2023 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Feb 20, 2017 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 10, 2023 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Feb 20, 2017 Accepting new patients
Saint Lukes Hospital of Garnett Inc Current Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Apr 10, 2023 Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

92 Main St
Cassville, MO 65625
Phone (417) 847-5225

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3231 S National Ave
Ste 130
Springfield, MO 65807
Phone (417) 888-5665

Organizations & group practices 7

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1770020141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656251610",
            "telephone_number": "417-547-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656251610",
            "telephone_number": "417-547-5225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Garnett",
            "state": "KS",
            "postal_code": "660321355",
            "country_code": "US",
            "telephone_number": "785-448-2674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEISES",
        "first_name": "CRYSTAL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77516-052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023000179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassville, MO

Sources for this page

Verify at the official NPI Registry.