KRYSTAL LYNN CRECELIUS NP
NPI 1023549862
Nurse Practitioner - Family in Saint Louis, MO

Active since March 23, 2017
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 7, 2019, Mar 8, 2018, Jul 14, 2017 and 1 more (4 updates tracked since 2017).

About Krystal Lynn Crecelius Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL LYNN CRECELIUS NP (NPI 1023549862) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2017024419) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1023549862
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTAL LYNN CRECELIUSCredential: NP
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address915 N Grand Blvd # B902Saint Louis, MO 63106-1621 · (314) 652-4100
Sole ProprietorYes
Enumeration DateMarch 23, 2017
Last NPPES UpdateMarch 19, 20244 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
NPI 1023549862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MO · 2017024419 Licensed in IL · 209017720
915 N GRAND BLVD, Saint Louis, MO 63106

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystal Crecelius's NPI number?

The NPI number for Krystal Crecelius is 1023549862. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Krystal Crecelius located?

Krystal Crecelius practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Krystal Crecelius's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Krystal Crecelius was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.