Individual provider Active NPI

Lynn Crites, FNP

  • Family Nurse Practitioner
  • West Plains, MO
National Provider Identifier
1992133979
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013038949 Issued in MO
Practice address
805 N Kentucky Ave
West Plains, MO 65775-2022
Phone
(416) 256-2111
Fax
(417) 256-4858
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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 2013038949 MO Primary

Addresses

Primary practice location

805 N Kentucky Ave
West Plains, MO 65775-2022

Mailing address

805 N Kentucky Ave
West Plains, MO 65775-2022
Phone (416) 256-2111

Other identifiers 1

IdentifierTypeStateIssuer
2013038949OtherMOLICENSE

Other names 1

  • Miss Kynn Marie Sandfort Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140317002050 MO Practitioner - Certified Clinical Nurse Specialist (CNS) 2264663152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burton Creek Rural Clinic LLCGroup PAC ID 4587576244, 14 clinicians

Practice addresses (Care Compare)

805 N Kentucky Ave
Suite 1
West Plains, MO 65775-2045
Phone (417) 257-6100

Hospital & facility affiliations

  • Elara Caring Home health agency, Dexter, MO, CCN 267589
  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013038949MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Burton Creek Rural Clinic, LLC CurrentSince Oct 30, 2013 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

805 N Kentucky Ave
Ste 1
West Plains, MO 65775
Phone (417) 256-2110

Interoperability endpoints

  • Direct secure messaging: lynncrites@bcm.allscriptsdirect.net
  • Direct secure messaging: lynn.crites.1@27794.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27794/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 2

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1992133979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752022",
            "telephone_number": "416-256-2111",
            "fax_number": "417-256-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752022",
            "telephone_number": "416-256-2111",
            "fax_number": "417-256-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITES",
        "first_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013038949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2013038949",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYNN",
            "last_name": "SANDFORT",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.