Crystal Dawn Leis, PMHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

78446 Issued in KS

Practice address

13670 Walsingham Rd
Largo, FL 33774-3532

Phone

(727) 593-9848

NPI assigned

Oct 22, 2018

Last updated

Sep 28, 2026By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE, KS2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Sunflower Medical Clinic LLCGroup PAC ID 2961884143, 2 clinicians

Warren Memorial HospitalGroup PAC ID 0941303085, shared by 3 NPIs, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Friend Community Healthcare System Hospital, Friend, NE, CCN 280779

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.leis.1@27082.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27082/brand/1/csg/1/fhir/r4

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.

• Sunflower Medical Clinic LLC

  • Family Nurse Practitioner
  • Marysville, KS
  • NPI 1467199091
  Medicare reassignment Care Compare group NPD Authorized official
• Sunflower Mental Health & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marysville, KS
  • NPI 1063378974
  Medicare reassignment NPD Authorized official
• Warren Memorial Hospital

  dba Warren Memorial PRO FEES

  • Rural Acute Care Hospital
  • Friend, NE
  • NPI 1063595486
  Medicare reassignment
• Sunflower Mental Health and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marysville, KS
  • NPI 1376475525
  NPD (past)
• Warren Memorial Hospital

  dba Friend Community Healthcare System

  • Medicare Defined Swing Bed Hospital Unit
  • Friend, NE
  • NPI 1538264403
  NPD (past)

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

• Warren Memorial Hospital

  dba Friend Community Healthcare System

  • Rural Acute Care Hospital
  • Friend, NE
  • NPI 1841387552
  Care Compare affiliation

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1942776596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714A BROADWAY",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081842",
            "telephone_number": "785-619-6720",
            "fax_number": "785-619-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13670 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743532",
            "telephone_number": "727-593-9848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714A Broadway",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "KS",
            "postal_code": "665081842",
            "country_code": "US",
            "telephone_number": "785-619-6720",
            "fax_number": "785-619-6721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "KS",
            "postal_code": "665081831",
            "country_code": "US",
            "telephone_number": "785-619-6720",
            "fax_number": "785-619-6721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIS",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78446",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11017616",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004782530001",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal.leisaprn@direct.mybaycare.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13670 Walsingham Rd",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337743532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Lee, OD
• Legacy Health Medical Group, LLC
• Christopher Leibold
• Jeffrey Leimbacher, MD
• Margaret A Leinbach, PA-C
• Iba Leka
• Maurice L Lelii, LMHC
• Mary Ann Leloia, LCSW
• Matthew T Lemley
• Lending Hands, LLC

• Family Nurse Practitioner in Largo, FL
• Providers in Largo, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.