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CRYSTAL MAGGARD
NPI 1356792972
Nurse Practitioner in Shipshewana, IN

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
8175 W US HIGHWAY 20, SHIPSHEWANA, IN 46565(260) 768-7432 Get Directions Write a Review

NPPES record last updated: October 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2022, Jul 6, 2021, Nov 15, 2017 and 1 more (4 updates tracked since 2016).

About Crystal Maggard NPPES

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

CRYSTAL MAGGARD (NPI 1356792972) is an individual nurse practitioner in Shipshewana, Indiana, licensed in Indiana (71006403A) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356792972
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCRYSTAL MAGGARD
Location Address8175 W US HIGHWAY 20Shipshewana, IN 46565-9169
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 768-7432
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateOctober 8, 20224 updates tracked since enumeration
NPPES CertifiedOctober 8, 2022
✔ NPI 1356792972 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 IN · 71006403A
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 28157248A (IN)
8175 W US HIGHWAY 20, Shipshewana, IN 46565
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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

Crystal Maggard 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 ID547554727
PECOS Enrollment IDI20160810002699
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.

Areas of Expertise CMS Part B claims 3

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.
54 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

Parkview Lagrange Hospital

Critical Access Hospitals · Lagrange, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151323
Location207 N Townline RdLagrange, IN 46761 · Lagrange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46565 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers13 claims26 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$1.04 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 2

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

JAMIN A YODER M.D.
Family Medicine
8175 W US HIGHWAY 20
SHIPSHEWANA, IN 46565
Lagrange County (260) 768-7432
DR. MILAD HELMY HANNA M.D.
Family Medicine
8175 W US HIGHWAY 20
SHIPSHEWANA, IN 46565
Lagrange County (260) 768-7432

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 Maggard's NPI number?

The NPI number for Crystal Maggard is 1356792972. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Crystal Maggard located?

Crystal Maggard practices at 8175 W Us Highway 20, Shipshewana, IN 46565. The listed phone number is (260) 768-7432.

What is Crystal Maggard's specialty?

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

Is Crystal Maggard enrolled in Medicare?

Yes. Crystal Maggard 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.

What insurance does Crystal Maggard accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Crystal Maggard 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 Maggard affiliated with any hospitals?

According to CMS data, Crystal Maggard is affiliated with Parkview Regional Medical Center, Parkview Noble Hospital and Parkview Lagrange Hospital.

When was this NPI record last updated?

The NPPES record for Crystal Maggard was last updated on October 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.