MRS. CRYSTAL MARIE STANBERRY NP
NPI 1053840082
Nurse Practitioner in Texarkana, AR

Q: What is Crystal Stanberry's NPI number?

The NPI number for Crystal Stanberry is 1053840082. It was assigned to this individual provider in the NPPES registry on June 4, 2017.

Q: What is Crystal Stanberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Stanberry was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 04, 2017PECOS Enrolled

1205 E 35TH ST, TEXARKANA, AR 71854(903) 735-5355 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2021, Jun 4, 2017 (2 updates tracked since 2017).

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About Mrs. Crystal Marie Stanberry Np NPPES

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

MRS. CRYSTAL MARIE STANBERRY NP (NPI 1053840082) is an individual nurse practitioner in Texarkana, Arkansas, licensed in Arkansas (A005171) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053840082

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. CRYSTAL MARIE STANBERRYCredential: NP

Location Address1205 E 35TH STTexarkana, AR 71854-2746

Mailing Address11267 Highway 82Texarkana, AR 71854-0844

Phone(903) 735-5355

Sole ProprietorNo

Enumeration DateJune 4, 2017

Last NPPES UpdateApril 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1053840082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AR · A005171

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License A005171 (AR), AP134293 (TX)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP134293 (TX), A005171 (AR)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP134293 (TX), A005171 (AR)

1205 E 35TH ST, Texarkana, AR 71854

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Crystal Marie Stanberry Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 71854 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier20 claims20 services$87.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TOMMY CALDWELL

Nurse Practitioner (Family)