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CRYSTAL DEROSE
NPI 1083155410
Counselor - Professional in New Freedom, PA

Active since March 18, 2017PECOS EnrolledAccepts Medicare Assignment
781 FAR HILLS DR STE 600, NEW FREEDOM, PA 17349(717) 812-2560(717) 812-2569 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2025, May 17, 2023, Mar 22, 2017 and 1 more (4 updates tracked since 2017).

About Crystal Derose NPPES

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

CRYSTAL DEROSE (NPI 1083155410) is an individual professional provider in New Freedom, Pennsylvania, licensed in Pennsylvania (PC008595) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083155410
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCRYSTAL DEROSE
Location Address781 FAR HILLS DR STE 600New Freedom, PA 17349-8404
Mailing Address781 Far Hills Dr Ste 600New Freedom, PA 17349-8404 · (717) 812-2560 · Fax (717) 812-2569
Phone(717) 812-2560
Fax(717) 812-2569
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 18, 2017
Last NPPES UpdateAugust 12, 20254 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1083155410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC008595
781 FAR HILLS DR STE 600, New Freedom, PA 17349
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystal Derose 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 ID3678917093
PECOS Enrollment IDI20240214000014
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Crystal Derose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellspan Medical Group
0.1 mi
Family Medicine
13515 WOLFE RD, SUITE C
New Freedom, PA 17349
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1629146709 (717) 812-2501
Lancaster General Medical Group
21 mi
Family Medicine
1159 RIVER RD
Marietta, PA 17547
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 727 clinicians in this Medicare group
NPI 1740255124 (717) 426-1131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

DR. LISA M BLOCK MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
781 FAR HILLS DR STE 600
NEW FREEDOM, PA 17349
York County (717) 812-2560
JAMIE LYNNE RYGIEL DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
781 FAR HILLS DR STE 600
NEW FREEDOM, PA 17349
York County (717) 812-2560
GREGORY J BREDOW M.D.
Psychiatry & Neurology (Psychiatry)
781 FAR HILLS DR STE 600
NEW FREEDOM, PA 17349
York County (717) 812-2560
MARY COLLETTE PARKS LBS, LPC
Counselor (Professional)
781 FAR HILLS DR STE 600
NEW FREEDOM, PA 17349
York County (717) 812-2560
DR. NADIMIRE JULES-DOLE M.D.
Psychiatry & Neurology (Psychiatry)
781 FAR HILLS DR STE 600
NEW FREEDOM, PA 17349
York County (717) 812-2560
ABBY ERICA FEINBERG MSW, LCSW
Social Worker (Clinical)
781 FAR HILLS DR STE 600
NEW FREEDOM, PA 17349
York County (717) 812-2560

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 Crystal Derose's NPI number?

The NPI number for Crystal Derose is 1083155410. It was assigned to this individual provider in the NPPES registry on March 18, 2017.

Where is Crystal Derose located?

Crystal Derose practices at 781 Far Hills Dr Ste 600, New Freedom, PA 17349. The listed phone number is (717) 812-2560.

What is Crystal Derose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Crystal Derose enrolled in Medicare?

Yes. Crystal Derose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Crystal Derose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Derose reassigns Medicare benefits to 2 organizations: Wellspan Medical Group (New Freedom, PA) and Lancaster General Medical Group (Marietta, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Derose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Crystal Derose was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.