MRS. CRYSTAL ANN STORCK
NPI 1164088175
Nurse Practitioner - Family in Nashville, IL

Q: What is Crystal Storck's NPI number?

The NPI number for Crystal Storck is 1164088175. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Q: What is Crystal Storck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Storck was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 15, 2019PECOS EnrolledAccepts Medicare Assignment

705 S GRAND ST, NASHVILLE, IL 62263(618) 327-8236(618) 327-2218 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Crystal Ann Storck NPPES

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

MRS. CRYSTAL ANN STORCK (NPI 1164088175) is an individual family provider in Nashville, Illinois, licensed in Illinois (209019349) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164088175

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CRYSTAL ANN STORCK

Location Address705 S GRAND STNashville, IL 62263-1534

Mailing Address705 S Grand StNashville, IL 62263-1534 · (618) 327-8236 · Fax (618) 327-2218

Phone(618) 327-8236

Fax(618) 327-2218

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 15, 2019

✔ NPI 1164088175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209019349

705 S GRAND ST, Nashville, IL 62263

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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 and accepts Medicare assignment

Mrs. Crystal Ann Storck 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 ID8022342633

PECOS Enrollment IDI20190701001599

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.

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Washington County Hospital

Critical Access Hospitals · Nashville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141308

Location705 S Grand AveNashville, IL 62263 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62263 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers24 claims25 services$6.54 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.

MRS. ANDREA S. BALDWIN ANP-C

Nurse Practitioner (Primary Care)