Individual provider Active NPI

Crystal J Yarnall, NP

  • Family Nurse Practitioner
  • Klamath Falls, OR
National Provider Identifier
1962611129
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202100029NP-PP Issued in OR
Practice address
925 High St
Klamath Falls, OR 97601-2830
Phone
(541) 851-3300
Fax
(541) 851-3301
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 109002 IA
Family Nurse Practitioner 363LF0000X 202100029NP-PP OR Primary
Family Nurse Practitioner 363LF0000X A156728 IA

Addresses

Primary practice location

925 High St
Klamath Falls, OR 97601-2830

Mailing address

5531 American Ave
Klamath Falls, OR 97603-9007
Phone (563) 599-1620

Other names 1

  • Crystal J Heacock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210521000941 OR Practitioner - Nurse Practitioner 2264831353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cofas IncGroup PAC ID 1456360114, 6 clinicians

Practice addresses (Care Compare)

2218 Shallock Ave
Klamath Falls, OR 97601-4290
Phone (541) 882-3818

4036 S 6TH St
Suite 2
Klamath Falls, OR 97603-4750
Phone (541) 851-9320

Hospital & facility affiliations

  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109002IAMDRegistered Nurse
A156728IAMDFamily Nurse Practitioner
202100029NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cofas Inc Current Accepting new patients
Wholesome Family Medicine CurrentSince Mar 1, 2021 Accepting new patients

Locations

2218 Shallock Ave
Klamath Falls, OR 97601
Phone (541) 882-3818

4036 S 6th St
Ste 2
Klamath Falls, OR 97603
Phone (541) 851-9320

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16628/brand/1/csg/1/fhir/r4
  • Direct secure messaging: crystal.yarnall.1@16628.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25961/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1962611129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 AMERICAN AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976039007",
            "telephone_number": "563-599-1620",
            "fax_number": "541-851-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HIGH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012830",
            "telephone_number": "541-851-3300",
            "fax_number": "541-851-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARNALL",
        "first_name": "CRYSTAL",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "109002",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202100029NP-PP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A156728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "HEACOCK",
            "middle_name": "J",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.