CRYSTAL YOUNG KAPLAN ARNP
NPI 1124584206
Nurse Practitioner - Acute Care in Henderson, NC

Active since February 14, 2019PECOS EnrolledAccepts Medicare Assignment
566 RUIN CREEK RD, HENDERSON, NC 27536(252) 436-1148 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Nov 2, 2022, Sep 13, 2019 and 1 more (4 updates tracked since 2019).

About Crystal Young Kaplan Arnp NPPES

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

CRYSTAL YOUNG KAPLAN ARNP (NPI 1124584206) is an individual acute care provider in Henderson, North Carolina, licensed in North Carolina (5017007) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Granville Health Systems, and maintains a secondary practice location in Port Charlotte.

NPPES Registry Identity

NPI1124584206
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCRYSTAL YOUNG KAPLANCredential: ARNP
Location Address566 RUIN CREEK RDHenderson, NC 27536-2927
Mailing Address566 Ruin Creek RdHenderson, NC 27536-2927 · (252) 436-1148
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 14, 2019
Last NPPES UpdateJanuary 10, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
NPI 1124584206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in NC · 5017007 Licensed in FL · 9492728
566 RUIN CREEK RD, Henderson, NC 27536

Secondary Practice Location 1

Location 122395 Edgewater DrPort Charlotte, FL 33980 · Phone (941) 766-7222

Accepted Insurance

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 Young Kaplan Arnp 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 ID1153653134
PECOS Enrollment IDI20221116000381
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Granville Health Systems

Acute Care Hospitals · Oxford, NC
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340127
Location1010 College StOxford, NC 27565 · Granville County
Emergency services Birthing friendly

Maria Parham Medical Center

Acute Care Hospitals · Henderson, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340132
LocationPO Box 59Henderson, NC 27536 · Vance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27536 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Rehabilitation Hospital
566 RUIN CREEK RD
HENDERSON, NC 27536
Internal Medicine
566 RUIN CREEK RD
HENDERSON, NC 27536
Physician Assistant
566 RUIN CREEK RD
HENDERSON, NC 27536
Radiology (Radiation Oncology)
566 RUIN CREEK RD
HENDERSON, NC 27536
Physician Assistant
566 RUIN CREEK RD
HENDERSON, NC 27536
Internal Medicine
566 RUIN CREEK RD
HENDERSON, NC 27536
Surgery (Vascular Surgery)
566 RUIN CREEK RD
HENDERSON, NC 27536
Rehabilitation Unit
566 RUIN CREEK RD
HENDERSON, NC 27536

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 Kaplan's NPI number?

The NPI number for Crystal Kaplan is 1124584206. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Crystal Kaplan located?

Crystal Kaplan practices at 566 Ruin Creek Rd, Henderson, NC 27536. The listed phone number is (252) 436-1148.

What is Crystal Kaplan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Crystal Kaplan enrolled in Medicare?

Yes. Crystal Kaplan 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.

What insurance does Crystal Kaplan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Crystal Kaplan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Crystal Kaplan affiliated with any hospitals?

According to CMS data, Crystal Kaplan is affiliated with Granville Health Systems and Maria Parham Medical Center.

When was this NPI record last updated?

The NPPES record for Crystal Kaplan was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.