DR. CRYSTAL LANE TATE M.D.
NPI 1255390472
Family Medicine in Ecru, MS
About Dr. Crystal Lane Tate M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CRYSTAL LANE TATE M.D. (NPI 1255390472) is an individual family medicine provider in Ecru, Mississippi, licensed in Mississippi (13565) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of University Of Mississippi School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Dr. Crystal Lane Tate M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Crystal Tate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 54 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Med Center
Acute Care Hospitals · Jackson, MSMagnolia Regional Health Center
Acute Care Hospitals · Corinth, MSBaptist Memorial Hospital Desoto
Acute Care Hospitals · Southaven, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38841 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tate's NPI number?
The NPI number for Crystal Tate is 1255390472. It was assigned to this individual provider in the NPPES registry on March 17, 2006.
Where is Crystal Tate located?
Crystal Tate practices at 375 Main St, Ecru, MS 38841. The listed phone number is (662) 489-5609.
What is Crystal Tate's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Crystal Tate enrolled in Medicare?
Yes. Crystal Tate 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.
Which organization bills Medicare for Crystal Tate's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Tate reassigns Medicare benefits to Ms State Department Of Health (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Tate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystal Tate accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Crystal Tate 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 Tate affiliated with any hospitals?
According to CMS data, Crystal Tate is affiliated with University Of Mississippi Med Center, Magnolia Regional Health Center and Baptist Memorial Hospital Desoto.
When was this NPI record last updated?
The NPPES record for Crystal Tate was last updated on December 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Crystal Lane Tate, M.D. · NPI 1255390472
Family Medicine physician in Ecru, Mississippi. Individual provider, active in the CMS NPPES registry since March 17, 2006.
## Identity
- **NPI:** 1255390472 (Entity type: Individual)
- **Enumerated:** March 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 13565 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 375 MAIN ST, Ecru, MS 38841-9118
- **Phone:** (662) 489-5609 · **Fax:** (662) 489-3814
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ms State Department Of Health (NPI 1053489260, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 1992
## Record status
- **NPPES last updated:** December 4, 2008
- **Other identifiers:** Medicare UPIN F32182 (MS); Medicare ID-Type Unspecified 080003363 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1255390472) · Data from the CMS NPPES public registry.