CRYSTAL ANN CARGILL APN, NP-BC
NPI 1407335854
Nurse Practitioner - Family in Pontiac, IL
About Crystal Ann Cargill Apn, Np-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL ANN CARGILL APN, NP-BC (NPI 1407335854) is an individual family provider in Pontiac, Illinois, licensed in Illinois (209017889) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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 Ann Cargill Apn, Np-bc 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 Cargill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomington, IL 61701
- Reassigned Medicare billing, Illinois enrollment
- 10 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Medical Center
Acute Care Hospitals · Bloomington, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PONTIAC, IL 61764
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 Cargill's NPI number?
The NPI number for Crystal Cargill is 1407335854. It was assigned to this individual provider in the NPPES registry on August 7, 2018.
Where is Crystal Cargill located?
Crystal Cargill practices at 1506 W Reynolds St, Pontiac, IL 61764. The listed phone number is (815) 844-3897.
What is Crystal Cargill's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystal Cargill enrolled in Medicare?
Yes. Crystal Cargill 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 Cargill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Cargill reassigns Medicare benefits to Mclean County Center For Human Services, Inc (Bloomington, IL). 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 Cargill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Crystal Cargill affiliated with any hospitals?
According to CMS data, Crystal Cargill is affiliated with St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Crystal Cargill was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Crystal Ann Cargill, APN, NP-BC · NPI 1407335854
Family physician in Pontiac, Illinois. Individual provider, active in the CMS NPPES registry since August 7, 2018.
## Identity
- **NPI:** 1407335854 (Entity type: Individual)
- **Enumerated:** August 7, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209017889 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1506 W REYNOLDS ST, Pontiac, IL 61764-9674
- **Phone:** (815) 844-3897
## 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:** Mclean County Center For Human Services, Inc (NPI 1245233493, Bloomington, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 7, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1407335854) · Data from the CMS NPPES public registry.