CRYSTAL A. FRANKLIN CNM
NPI 1316981970
Advanced Practice Midwife in Washington, DC

Active since June 15, 2006PECOS Enrolled
1500 GALEN ST SE, WASHINGTON, DC 20020(202) 610-7166(202) 548-8600 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crystal A. Franklin Cnm NPPES

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

CRYSTAL A. FRANKLIN CNM (NPI 1316981970) is an individual advanced practice midwife in Washington, District Of Columbia, licensed in Pennsylvania (MW008540L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316981970
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameCRYSTAL A. FRANKLINCredential: CNM
Location Address1500 GALEN ST SEWashington, DC 20020-4913
Mailing Address1330 Powell St, Suite 507Norristown, PA 19401-3353 · (610) 279-9003 · Fax (610) 270-2654
Fax(202) 548-8600
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 19, 2019
✔ NPI 1316981970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in PA · MW008540L
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1500 GALEN ST SE, Washington, DC 20020

Other Identifiers 12

Other0045359000PA · Ibc - Pc/khpe
Other27073-MW008540LPA · Health Partners
Other7004028PA · Aetna Ppo
Other420000749PA · Rrm
Other8157482PA · Cigna Hmo/ppo
Other9058067PA · Phcs
Medicaid0017505060001PA
Other0175050602PA · Americhoice (uhc Ma Plan)
Other2290672PA · Aetna Hmo
Other480722PA · Highmark Blue Shield
Other0045359000PA · Amerihealth/intercounty
Other1101561PA · Keystone Mercy

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal A. Franklin Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Franklin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1145 19TH ST NW, SUITE 311
Washington, DC 20036
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20020 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

Internal Medicine
1500 GALEN ST SE
WASHINGTON, DC 20020
Clinic/Center (Federally Qualified Health Center (FQHC))
1500 GALEN ST SE
WASHINGTON, DC 20020
Counselor (Professional)
1500 GALEN ST SE
WASHINGTON, DC 20020
Nurse Practitioner (Primary Care)
1500 GALEN ST SE
WASHINGTON, DC 20020
Dentist
1500 GALEN ST SE
WASHINGTON, DC 20020
Dentist (General Practice)
1500 GALEN ST SE
WASHINGTON, DC 20020
Pharmacy (Community/Retail Pharmacy)
1500 GALEN ST SE
WASHINGTON, DC 20020
Family Medicine
1500 GALEN ST SE
WASHINGTON, DC 20020

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 Franklin's NPI number?

The NPI number for Crystal Franklin is 1316981970. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Crystal Franklin located?

Crystal Franklin practices at 1500 Galen St SE, Washington, DC 20020. The listed phone number is (202) 610-7166.

What is Crystal Franklin's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Crystal Franklin enrolled in Medicare?

Yes. Crystal Franklin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Crystal Franklin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Franklin reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). 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 Franklin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Franklin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Crystal Franklin 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.

When was this NPI record last updated?

The NPPES record for Crystal Franklin was last updated on July 19, 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.