Crystal Elizabeth Meyer, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A118055 Issued in IA

Practice address

2704 Enterprise Ave
Spirit Lake, IA 51360

Phone

(712) 336-2728

Fax

(712) 336-2842

NPI assigned

Aug 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Lakes Dermatology PLLCGroup PAC ID 4082913637, 3 clinicians

Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
• Avera Holy Family Hospital Hospital, Estherville, IA, CCN 161351
• Humboldt County Memorial Hospital Hospital, Humboldt, IA, CCN 161334
• Palo Alto County Hospital Hospital, Emmetsburg, IA, CCN 161357
• Sanford Jackson Medical Center Hospital, Jackson, MN, CCN 241315

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.27 of 100Reported as apm

Quality

85.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal@meyer.emadirect.md

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.

• Lakes Dermatology, PLLC

  • Nurse Practitioner
  • Spirit Lake, IA
  • NPI 1194186833
  Medicare reassignment Care Compare group NPD Authorized official
• Sports Rehab and Professional Therapy Associates Inc

  • Rehabilitation Clinic/Center
  • Storm Lake, IA
  • NPI 1033289749
  Care Compare group

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

• Avera Holy Family

  • Critical Access Hospital
  • Estherville, IA
  • NPI 1508810177
  Care Compare affiliation
• Humboldt County Memorial Hospital

  • Critical Access Hospital
  • Humboldt, IA
  • NPI 1194702977
  Care Compare affiliation
• Lakes Regional Healthcare

  • General Acute Care Hospital
  • Spirit Lake, IA
  • NPI 1508862012
  Care Compare affiliation
• Palo Alto County Hospital

  • Critical Access Hospital
  • Emmetsburg, IA
  • NPI 1790793651
  Care Compare affiliation
• Sanford Health Network

  • Critical Access Hospital
  • Jackson, MN
  • NPI 1326069097
  Care Compare affiliation

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1841548161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 ENTERPRISE AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "51360",
            "telephone_number": "712-336-2728",
            "fax_number": "712-336-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 ENTERPRISE AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "51360",
            "telephone_number": "712-336-2728",
            "fax_number": "712-336-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CRYSTAL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A-118055",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A118055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194186833",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Magg, R.N.
• Laith Mohamed Mahdi, D.O.
• Amy Marlow, OT
• Ruth Mroch McCleery, LMHC
• Bradley Russell Meyer, D.O.
• Ashley Ann Miller, PTA
• Janelle Garms Miller, P.T.
• Katie Lisa Moorberg, LMSW
• Heather M Morgan, PHARMD, RPH
• Holly Marie Mueller, BSN, RN

• Nurse Practitioner in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.