Individual provider Active NPI

Crystal Dawn Compton, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1942704747
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012181 Issued in KY
Practice address
1733 Harrodsburg Rd
Lexington, KY 40504-3617
Phone
(859) 278-4869
Fax
(859) 296-0362
NPI assigned
Mar 19, 2018
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 3012181 KY Primary

Addresses

Primary practice location

1733 Harrodsburg Rd
Lexington, KY 40504-3617

Mailing address

1733 Harrodsburg Rd
Lexington, KY 40504-3277
Phone (859) 278-4869

Other practice location 1

4391 W Highway 550
Carrie, KY 41725-9022
Phone (606) 276-7219

Other identifiers 1

IdentifierTypeStateIssuer
7100551680MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180906001241 KY Practitioner - Nurse Practitioner 9032469473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palliative Care Center of the Bluegrass Inc.Group PAC ID 8820981731, 21 clinicians

Practice addresses (Care Compare)

1733 Harrodsburg Rd
Lexington, KY 40504-3617
Phone (859) 276-5344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012181KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Center of the Bluegrass Inc. Family CurrentSince Apr 29, 2019 Accepting new patients
Pikeville Neurology Clinic & Diagnostic Center PSC PastSince Aug 1, 2018 Accepting new patients

Locations

1733 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-5344

2312 Alexandria Dr
Lexington, KY 40504
Phone (859) 276-5344

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1942704747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043277",
            "telephone_number": "859-278-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043617",
            "telephone_number": "859-278-4869",
            "fax_number": "859-296-0362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4391 W Highway 550",
            "address_purpose": "LOCATION",
            "city": "Carrie",
            "state": "KY",
            "postal_code": "417259022",
            "country_code": "US",
            "telephone_number": "606-276-7219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100551680",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.