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CRYSTAL BALES FNP-C
NPI 1417481516
Nurse Practitioner - Family in Macon, GA

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
2192 INGLESIDE AVE, MACON, GA 31204(478) 336-5030(478) 254-3146 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2025, Feb 14, 2018, Jun 26, 2017 and 2 more (5 updates tracked since 2017).

About Crystal Bales Fnp-c NPPES

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

CRYSTAL BALES FNP-C (NPI 1417481516) is an individual family provider in Macon, Georgia, licensed in Georgia (227441) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417481516
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL BALESCredential: FNP-C
Location Address2192 INGLESIDE AVEMacon, GA 31204-2030
Mailing Address2192 Ingleside AveMacon, GA 31204-2030 · (478) 336-5030 · Fax (478) 254-3146
Phone(478) 336-5030
Fax(478) 254-3146
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 14, 2017
Last NPPES UpdateOctober 9, 20255 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1417481516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 227441
2192 INGLESIDE AVE, Macon, GA 31204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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 Bales 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.

PECOS PAC ID8426328592
PECOS Enrollment IDI20170721002374
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.

Hospital Affiliations CMS Care Compare

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31204 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%234 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%278 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%198 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
100%102 patients5/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$54.33 avg. paid by Medicare
Manual wheelchair accessory, wheel braking system and lock, complete, each E2228
DME-Wheelchairs · category DD021N
1 supplier11 claims22 services$63.74 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$21.38 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 3

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

DR. DARL WAYNE RANTZ M.D.
Family Medicine
2192 INGLESIDE AVE
MACON, GA 31204
Bibb County (478) 745-9880
ENTERPRISE FAMILY HEALTHCARE
Clinic/Center (Primary Care)
2192 INGLESIDE AVE
MACON, GA 31204
Bibb County (478) 745-9880
ENTERPRISE FAMILY HEALTHCARE
Clinic/Center (Primary Care)
2192 INGLESIDE AVE
MACON, GA 31204
Bibb County (478) 745-9880

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 Bales's NPI number?

The NPI number for Crystal Bales is 1417481516. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Crystal Bales located?

Crystal Bales practices at 2192 Ingleside Ave, Macon, GA 31204. The listed phone number is (478) 336-5030.

What is Crystal Bales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Crystal Bales enrolled in Medicare?

Yes. Crystal Bales 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 Bales accept?

Health plans from Alliant Health Plans, Inc. list Crystal Bales 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 Bales affiliated with any hospitals?

According to CMS data, Crystal Bales is affiliated with Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Crystal Bales was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.