CRYSTAL KAY LIEBLANG CNP
NPI 1154783470
Nurse Practitioner - Adult Health in Port Huron, MI

Q: What is Crystal Lieblang's NPI number?

The NPI number for Crystal Lieblang is 1154783470. It was assigned to this individual provider in the NPPES registry on March 25, 2016. The provider is also known as Crystal Kay Pennell.

Q: What is Crystal Lieblang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Lieblang was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment

1222 10TH AVE, PORT HURON, MI 48060(810) 985-9681(810) 985-5310 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2025, Sep 29, 2021, Mar 25, 2016 (3 updates tracked since 2016).

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About Crystal Kay Lieblang Cnp NPPES

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

CRYSTAL KAY LIEBLANG CNP (NPI 1154783470) is an individual adult health provider in Port Huron, Michigan, licensed in Michigan (4704239482) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154783470

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCRYSTAL KAY LIEBLANGCredential: CNP

Location Address1222 10TH AVEPort Huron, MI 48060-3406

Mailing Address1222 10th AvePort Huron, MI 48060-3406 · (810) 985-9681 · Fax (810) 985-5310

Phone(810) 985-9681

Fax(810) 985-5310

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 25, 2016

Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1154783470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704239482

Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704239482 (MI)

1222 10TH AVE, Port Huron, MI 48060

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Other Names 1

Former Name (1)Crystal Kay Pennell

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 Kay Lieblang Cnp 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 ID3577852839

PECOS Enrollment IDI20160510001982

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.

71 services70 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.

69 services68 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

32 services32 patients

Hospital Affiliations CMS Care Compare 4

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230031

Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County

Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230216

Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County

Emergency services Birthing friendly

Deckerville Community Hospital

Critical Access Hospitals · Deckerville, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231311

Location3559 Pine StDeckerville, MI 48427 · Sanilac County

Emergency services

Mckenzie Health System

Critical Access Hospitals · Sandusky, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231314

Location120 N Delaware StreetSandusky, MI 48471 · Sanilac County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 15

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

CARDIOLOGY ASSOC OF PORT HURON

Internal Medicine (Cardiovascular Disease)