CRYSTAL LYNN LA ROSE CNM
NPI 1033961180
Advanced Practice Midwife in Whiteriver, AZ

Q: What is Crystal La Rose's NPI number?

The NPI number for Crystal La Rose is 1033961180. It was assigned to this individual provider in the NPPES registry on April 2, 2024. The provider is also known as Crystal Lynn Clyde Rn.

Q: What is Crystal La Rose's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal La Rose was last updated on April 2, 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.

Active since April 02, 2024PECOS EnrolledAccepts Medicare Assignment

PO BOX 860, WHITERIVER, AZ 85941(928) 338-4911 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Crystal Lynn La Rose Cnm NPPES

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

CRYSTAL LYNN LA ROSE CNM (NPI 1033961180) is an individual advanced practice midwife in Whiteriver, Arizona, licensed in Arizona (223670) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033961180

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameCRYSTAL LYNN LA ROSECredential: CNM

Location AddressPO BOX 860Whiteriver, AZ 85941-0860

Mailing Address4040 Trotwood DrLake Havasu City, AZ 86406-8007 · (928) 302-0622

Phone(928) 338-4911

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 2, 2024

NPPES CertifiedApril 2, 2024

✔ NPI 1033961180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in AZ · 223670

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

PO BOX 860, Whiteriver, AZ 85941

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Other Names 1

Former Name (1)Crystal Lynn Clyde Rn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystal Lynn La Rose Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517408024

PECOS Enrollment IDI20240924004552

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85941 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

DR. TRAVIS WADE AUSTIN M.D.

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)