Individual provider Active NPI

Crystal Williams, NP

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1801629639
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015676A Issued in IN
Practice address
3516 E 10TH St
Jeffersonville, IN 47130-9315
Phone
(812) 546-4640
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71015676A IN Primary

Addresses

Primary practice location

3516 E 10TH St
Jeffersonville, IN 47130-9315

Mailing address

2038 Mary Ella Dr
Georgetown, IN 47122-8010
Phone (502) 558-9954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240917001714 IN Practitioner - Nurse Practitioner 0244771368 Reassigns benefits to 1 organization
I20250702001603 KY Practitioner - Nurse Practitioner 0244771368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100

3516 E 10TH St
Jeffersonville, IN 47130-9315
Phone (812) 981-8970

Hospital & facility affiliations

  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 10, 2024 Accepting new patients
Baptist Health Medical Group, Inc. CurrentSince Sep 10, 2024 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

7702 Bardstown Rd
Louisville, KY 40291
Phone (502) 925-4100

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1801629639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 MARY ELLA DR",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471228010",
            "telephone_number": "502-558-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309315",
            "telephone_number": "812-546-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CRYSTAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015676A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.