CRYSTAL MICHELLE LEGIONS-HOLDEN AGACNP
NPI 1184353096
Nurse Practitioner in Jackson, TN

Q: What is Crystal Legions-holden's NPI number?

The NPI number for Crystal Legions-holden is 1184353096. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Q: What is Crystal Legions-holden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 07, 2022PECOS EnrolledAccepts Medicare Assignment

95.73/100

CMS Quality Rating

27A MEDICAL CENTER DR, JACKSON, TN 38301(731) 524-3310(731) 424-4109 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 25, 2023, Jun 7, 2022 (2 updates tracked since 2022).

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About Crystal Michelle Legions-holden Agacnp NPPES

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

CRYSTAL MICHELLE LEGIONS-HOLDEN AGACNP (NPI 1184353096) is an individual nurse practitioner in Jackson, Tennessee, licensed in Tennessee (31707) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184353096

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCRYSTAL MICHELLE LEGIONS-HOLDENCredential: AGACNP

Location Address27A MEDICAL CENTER DRJackson, TN 38301-3949

Mailing Address27a Medical Center DrJackson, TN 38301-3949 · (731) 524-3310 · Fax (731) 424-4109

Phone(731) 524-3310

Fax(731) 424-4109

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 7, 2022

Last NPPES UpdateMay 25, 20232 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1184353096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 31707

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 83 (TN)

27A MEDICAL CENTER DR, Jackson, TN 38301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Michelle Legions-holden Agacnp 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 ID6507247517

PECOS Enrollment IDI20220722000690

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 Reassignment

Medicare enrollment records show Crystal Legions-holden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Tennessee Medical Group Inc

0.1 mi

Internal Medicine

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
242 clinicians in this Medicare group

NPI 1053615955 (731) 660-8730

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

Areas of Expertise CMS Part B claims

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.

52 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440072

Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.39

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 19

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

BRITTAIN DOUGLAS LITTLE M.D.

Internal Medicine (Gastroenterology)