CHRYSTAL ROSE STALLWORTH MD
NPI 1265018279
Obstetrics & Gynecology - Gynecologic Oncology in Rochester, MN

Q: What is Chrystal Stallworth's NPI number?

The NPI number for Chrystal Stallworth is 1265018279. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Q: What is Chrystal Stallworth's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Active since March 20, 2021PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, Mar 20, 2021 (2 updates tracked since 2021).

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About Chrystal Rose Stallworth Md NPPES

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

CHRYSTAL ROSE STALLWORTH MD (NPI 1265018279) is an individual gynecologic oncology provider in Rochester, Minnesota, licensed in Minnesota (79898) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arlington, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265018279

Entity TypeIndividualFemale

Primary Taxonomy207VX0201X

Provider Legal NameCHRYSTAL ROSE STALLWORTHCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 20, 2021

Last NPPES UpdateJune 9, 20252 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1265018279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

License✔ Licensed in MN · 79898

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Location 1

Location 13301 Matlock RdArlington, TX 76015-2908 · Phone (817) 347-1141

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chrystal Rose Stallworth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416366091

PECOS Enrollment IDI20250616002018

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

EMILY LEASURE MD

Internal Medicine