Individual provider Active NPI

Crystal Amber Christie, APRN

  • Family Nurse Practitioner
  • Columbus, NE
National Provider Identifier
1922624329
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
80560 Issued in NE
Practice address
4321 41St Ave
Columbus, NE 68601-2131
Phone
(402) 270-2195
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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 80560 NE Primary

Addresses

Primary practice location

4321 41St Ave
Columbus, NE 68601-2131

Mailing address

4321 41St Ave
Columbus, NE 68601-2131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cchristie@ecdhd.ne.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20210108001871 NE Practitioner - Nurse Practitioner 6507279668 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80560NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Jan 4, 2022 Accepting new patients

Locations

2855 40th Ave
Columbus, NE 68601
Phone (402) 563-8014

318 W 18th St
#1110
Cozad, NE 69130

1405 W US Highway 34
Grand Island, NE 68801
Phone (308) 382-6394

5505 Grover St
Omaha, NE 68106
Phone (402) 558-0225

250 Skillman St
Ste 202
Brooklyn, NY 11205

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1922624329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 41ST AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 41ST AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012131",
            "telephone_number": "402-270-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "CRYSTAL",
        "middle_name": "AMBER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "80560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cchristie@ecdhd.ne.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "4321 41st Ave",
            "city": "Columbus",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686012131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.