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

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: July 19, 2026.

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

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
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

Other Names 1

Former Name (1)Crystal Kay Pennell

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 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 2024 & 2026 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.

Internal Medicine (Interventional Cardiology)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Clinical Cardiac Electrophysiology)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Cardiovascular Disease)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Cardiovascular Disease)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Interventional Cardiology)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Cardiovascular Disease)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Cardiovascular Disease)
1222 10TH AVE
PORT HURON, MI 48060
Internal Medicine (Cardiovascular Disease)
1222 10TH AVE
PORT HURON, MI 48060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154783470, enumerated as an "individual" on March 25, 2016.

The provider is located at 1222 10TH AVE PORT HURON, MI 48060 and the phone number is (810) 985-9681.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Crystal Lieblang is affiliated with: LAKE HURON MEDICAL CENTER, MCLAREN PORT HURON, DECKERVILLE COMMUNITY HOSPITAL and MCKENZIE HEALTH SYSTEM.