CRYSTAL DENISE MCCLAIN FNP-C
NPI 1407586621
Nurse Practitioner - Family in Albuquerque, NM
About Crystal Denise Mcclain Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL DENISE MCCLAIN FNP-C (NPI 1407586621) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (68303) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
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 Denise Mcclain Fnp-c 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 Reassignments
2Medicare enrollment records show Crystal Mcclain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 3 clinicians in this Medicare group
Albuquerque, NM 87113
- Reassigned Medicare billing, New Mexico enrollment
- 4 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87109 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87109
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 Mcclain's NPI number?
The NPI number for Crystal Mcclain is 1407586621. It was assigned to this individual provider in the NPPES registry on June 11, 2022.
Where is Crystal Mcclain located?
Crystal Mcclain practices at 101 Hospital Loop NE Ste 106, Albuquerque, NM 87109. The listed phone number is (505) 433-8659.
What is Crystal Mcclain's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystal Mcclain enrolled in Medicare?
Yes. Crystal Mcclain 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 organizations bill Medicare for Crystal Mcclain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Mcclain reassigns Medicare benefits to 2 organizations: Sea Family Healthcare, LLC (Albuquerque, NM) and Total Balance Healthcare, LLC (Albuquerque, NM). Each 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 Mcclain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Crystal Mcclain was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 Denise Mcclain, FNP-C · NPI 1407586621
Family physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since June 11, 2022.
## Identity
- **NPI:** 1407586621 (Entity type: Individual)
- **Enumerated:** June 11, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 68303 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 HOSPITAL LOOP NE STE 106, Albuquerque, NM 87109-2100
- **Phone:** (505) 433-8659 · **Fax:** (505) 697-1681
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Sea Family Healthcare, LLC (NPI 1609693613, Albuquerque, NM); Total Balance Healthcare, LLC (NPI 1447906250, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407586621) · Data from the CMS NPPES public registry.