Individual provider Active NPI

Crystal Sue Dobson, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1992461347
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016990 Issued in KY
Practice address
800 Rose St Whitney Hendrickson BLDG
Ste 331a
Lexington, KY 40536-0098
Phone
(859) 323-5553
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 3016990 KY Primary

Addresses

Primary practice location

800 Rose St Whitney Hendrickson BLDG
Ste 331a
Lexington, KY 40536-0098

Mailing address

1306 Versailles Rd Ste 120
Lexington, KY 40504-1795
Phone (859) 259-2635

Other practice location 1

1306 Versailles Rd Ste 120
Lexington, KY 40504-1795
Phone (859) 259-2635

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
I20220202001784 KY Practitioner - Nurse Practitioner 1355734021 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Physician CorpGroup PAC ID 9436149275, 6 clinicians

Practice addresses (Care Compare)

424 Jett Dr
Jackson, KY 41339-9621
Phone (606) 666-2960

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Primary Health Care Center, Inc. CurrentSince Apr 15, 2024 Accepting new patients
University of Kentucky CurrentSince Feb 1, 2022 Accepting new patients
Bluegrass Primary Health Care Center, Inc. Current Accepting new patients
Signify Health, LLC CurrentSince Jan 22, 2024 Accepting new patients
Jackson Physician Corp CurrentSince Sep 1, 2025 Accepting new patients
Bluegrass Primary Health Care Center, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Jackson Physician Corp Family CurrentSince Sep 1, 2025 Accepting new patients

Locations

540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971

424 Jett Dr
Jackson, KY 41339
Phone (606) 666-2960

1306 Versailles Rd
Ste 120
Lexington, KY 40504
Phone (859) 259-2635

800 Rose St
Ste 331A
Lexington, KY 40536
Phone (859) 257-4488

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: crystal.dobson.1@1885.direct.athenahealth.com
  • Direct secure messaging: cdobson@yourcarecommunity.org

Organizations & group practices 7

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1992461347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041795",
            "telephone_number": "859-259-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST WHITNEY HENDRICKSON BLDG",
            "address_2": "STE 331A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360098",
            "telephone_number": "859-323-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 Versailles Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405041795",
            "country_code": "US",
            "telephone_number": "859-259-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "CRYSTAL",
        "middle_name": "SUE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.