Krystal Collins, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

121628 Issued in AR

Practice address

9800 Baptist Health Dr Ste 600
Little Rock, AR 72205-6244

Phone

(501) 221-0123

NPI assigned

Aug 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer T Scruggs MD PAGroup PAC ID 8426372301, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Jennifer T Scruggs MD PA

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1457749384
  Medicare reassignment Care Compare group NPD
• T David I Wilkes MD PA

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1083941587
  NPD (past)

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567296000000",
    "number": "1780230375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 BAPTIST HEALTH DR STE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056244",
            "telephone_number": "502-221-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BAPTIST HEALTH DR STE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056244",
            "telephone_number": "501-221-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KRYSTAL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-10",
        "last_updated": "2019-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "121628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Collins, LAC
• David N Collins, M.D.
• Gary J Collins, MD
• Jamie Collins, PHARM D
• Karen Collins
• Lahairoi Lasha Collins
• Shelli C Collins, CRNA
• Taylor Collins
• Colonel Glenn Health and Rehab, LLC
• Morgan Dyanne Colson, MSN, FNP-C

• Family Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; 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.