CRYSTAL MAYBERRY PSYD
NPI 1427548064
Psychologist in Eagan, MN

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1110 YANKEE DOODLE RD, EAGAN, MN 55121(651) 464-3970(651) 241-0059 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2022, Nov 22, 2021, Nov 16, 2021 and 4 more (7 updates tracked since 2018).

About Crystal Mayberry Psyd NPPES

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

CRYSTAL MAYBERRY PSYD (NPI 1427548064) is an individual psychologist in Eagan, Minnesota, licensed in Minnesota (LP6735) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427548064
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCRYSTAL MAYBERRYCredential: PSYD
Location Address1110 YANKEE DOODLE RDEagan, MN 55121-2092
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-4400
Fax(651) 241-0059
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 17, 2018
Last NPPES UpdateJanuary 13, 20227 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
✔ NPI 1427548064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in MN · LP6735✔ Licensed in WA · PY60912419
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1110 YANKEE DOODLE RD, Eagan, MN 55121

Accepted Insurance

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 Mayberry Psyd 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 ID7012338015
PECOS Enrollment IDI20211202000684
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 Reassignments

2

Medicare enrollment records show Crystal Mayberry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1110 YANKEE DOODLE RD
Eagan, MN 55121
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
Urgent Care
7907 POWERS BLVD
Chanhassen, MN 55317
  • Reassigned Medicare billing, Minnesota enrollment
  • 581 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.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 20

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

Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Pediatrics
1110 YANKEE DOODLE RD
EAGAN, MN 55121

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 Mayberry's NPI number?

The NPI number for Crystal Mayberry is 1427548064. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Crystal Mayberry located?

Crystal Mayberry practices at 1110 Yankee Doodle Rd, Eagan, MN 55121. The listed phone number is (651) 464-3970.

What is Crystal Mayberry's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Crystal Mayberry enrolled in Medicare?

Yes. Crystal Mayberry 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 Mayberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Mayberry reassigns Medicare benefits to 2 organizations: Allina Health System (Eagan, MN) and Ridgeview Medical Center (Chanhassen, MN). 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 Mayberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Mayberry accept?

Health plans from HealthPartners and Medica list Crystal Mayberry 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.

When was this NPI record last updated?

The NPPES record for Crystal Mayberry was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.