CRISSIE LEA OVERSHINE APRN, FNP-C
NPI 1417622796
Nurse Practitioner - Family in Jonesboro, AR

Active since August 10, 2021PECOS Enrolled
3911 ASBURY DR, JONESBORO, AR 72404(870) 239-1779 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2021, Aug 10, 2021 (2 updates tracked since 2021).

About Crissie Lea Overshine Aprn, Fnp-c NPPES

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

CRISSIE LEA OVERSHINE APRN, FNP-C (NPI 1417622796) is an individual family provider in Jonesboro, Arkansas, licensed in Arkansas (217208) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417622796
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRISSIE LEA OVERSHINECredential: APRN, FNP-C
Location Address3911 ASBURY DRJonesboro, AR 72404-9451
Mailing Address3911 Asbury DrJonesboro, AR 72404-9451 · (870) 239-1779
Sole ProprietorYes
Enumeration DateAugust 10, 2021
Last NPPES UpdateAugust 18, 20212 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1417622796 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 AR · 217208
3911 ASBURY DR, Jonesboro, AR 72404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crissie Lea Overshine Aprn, Fnp-c 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 Crissie Overshine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arkansas enrollment
  • 354 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 72404 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Crissie Overshine's NPI number?

The NPI number for Crissie Overshine is 1417622796. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Crissie Overshine located?

Crissie Overshine practices at 3911 Asbury Dr, Jonesboro, AR 72404. The listed phone number is (870) 239-1779.

What is Crissie Overshine's specialty?

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

Is Crissie Overshine enrolled in Medicare?

Yes. Crissie Overshine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Crissie Overshine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crissie Overshine reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Crissie Overshine'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 Crissie Overshine was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.