Crystal L Grimes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-00627 Issued in KS

Practice address

10202 W 13TH St N
Wichita, KS 67212-4377

Phone

(316) 729-9100

Fax

(316) 729-9185

NPI assigned

Apr 27, 2006

Last updated

Aug 9, 2022By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tyler Physicians, P.a.Group PAC ID 3870654676, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Wichita, KS, CCN 177117
• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Tyler Physicians, P.a.

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1083879399
  Medicare reassignment Care Compare group
• Mercy Medical Clinic, PA

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1841228459
  NPD (past)

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

• Via Christi Home Health Wichita, LLC

  dba Ascension at Home

  • Home Health Agency
  • Wichita, KS
  • NPI 1235132119
  Care Compare affiliation
• Wesley Medical Center LLC

  dba Wesley LifeWatch

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  dba Wesley Medical Center

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1780641233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 W 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124377",
            "telephone_number": "316-729-9100",
            "fax_number": "316-729-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 W 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124377",
            "telephone_number": "316-729-9100",
            "fax_number": "316-729-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "003719196",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003740 A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Marie Griekspoor
• Audrey Eileen Griffin, PA (PHYSICIAN ASSIST
• Toya M. C. Griffin
• John Austin William Griffith, DDS
• Rachael Jane Grill
• Maggie Grimes, RN
• Michael D Grimes, MD
• Katherine Grimsley, MD
• Stephen Joseph Grindel, DO
• Thuy-Annie Vu Grisamore, APRN FNP

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.