NPIMap

Individual provider Active NPI

Crystal Lynn Orr, PA-C

  • Medical Physician Assistant
  • Ogallala, NE
National Provider Identifier
1790874253
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1602 Issued in NE
Practice address
2601 N Spruce St
Ogallala, NE 69153-2465
Phone
(308) 284-3645
NPI assigned
Oct 12, 2006
Last updated
Oct 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1602 NE Primary

Addresses

Primary practice location

2601 N Spruce St
Ogallala, NE 69153-2465

Mailing address

2601 N Spruce St
Ogallala, NE 69153-2465
Phone (308) 284-3645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000111 NE Practitioner - Physician Assistant 8527164789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perkins County Hospital DistrictGroup PAC ID 0840109823, 22 clinicians

Practice addresses (Care Compare)

221 E 10TH St
Ogallala, NE 69153-1425
Phone (308) 284-8421

912 Central Ave
Grant, NE 69140-3099
Phone (308) 352-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
31.28 of 100Reported as group
Quality
19.15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1602NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Perkins County Hospital District CurrentSince Dec 2, 2019 Accepting new patients
Rapidcare Clinic PA Past Accepting new patients
Partners in Chronic Disease Management Inc PastSince Mar 1, 2013 Accepting new patients
Perkins County Hospital District Past Accepting new patients
Perkins County Hospital District Past Accepting new patients

Locations

912 Central Ave
Grant, NE 69140
Phone (308) 352-7100

221 E 10th St
Ogallala, NE 69153
Phone (308) 284-8421

Organizations & group practices 6

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1790874253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N SPRUCE ST",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691532465",
            "telephone_number": "308-284-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N SPRUCE ST",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691532465",
            "telephone_number": "308-284-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogallala, NE

Sources for this page

Verify at the official NPI Registry.