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DR. KRYSTAL JEAN HEMINGWAY DNP, APRN, FNP-C
NPI 1437826815
Nurse Practitioner in Gainesville, FL

Active since August 24, 2021PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
6400 W NEWBERRY RD STE 101, GAINESVILLE, FL 32605(352) 333-4301(352) 333-4302 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 16, 2024, Nov 13, 2023, Sep 17, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Krystal Jean Hemingway Dnp, Aprn, Fnp-c NPPES

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

DR. KRYSTAL JEAN HEMINGWAY DNP, APRN, FNP-C (NPI 1437826815) is an individual nurse practitioner in Gainesville, Florida, licensed in Florida (APRN11014042) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Hca Florida North Florida Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437826815
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. KRYSTAL JEAN HEMINGWAYCredential: DNP, APRN, FNP-C
Location Address6400 W NEWBERRY RD STE 101Gainesville, FL 32605-4383
Mailing Address6400 W Newberry Rd Ste 101Gainesville, FL 32605-4383 · (352) 333-4301 · Fax (352) 333-4302
Phone(352) 333-4301
Fax(352) 333-4302
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2021
Last NPPES UpdateMay 1, 20254 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
✔ NPI 1437826815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11014042
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6400 W NEWBERRY RD STE 101, Gainesville, FL 32605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Krystal Jean Hemingway Dnp, Aprn, 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 ID8527466929
PECOS Enrollment IDI20211015001800
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 Krystal Hemingway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Florida Surgical Associates LLC
0.1 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1121 NW 64TH TER, SUITE B
Gainesville, FL 32605
  • Reassigned Medicare billing, Florida enrollment
  • 48 clinicians in this Medicare group
NPI 1982688628 (352) 331-3583
Florida Clinical Practice Association Inc
4.2 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services19 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Other Providers at the Same Location NPPES 2

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

PRITAM BRAR M.D.
Family Medicine
6400 W NEWBERRY RD STE 101
GAINESVILLE, FL 32605
Alachua County (353) 333-5152
DR. MEHAK GANDHI M.D.
Family Medicine
6400 W NEWBERRY RD STE 101
GAINESVILLE, FL 32605
Alachua County (352) 333-5152

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 Krystal Hemingway's NPI number?

The NPI number for Krystal Hemingway is 1437826815. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Krystal Hemingway located?

Krystal Hemingway practices at 6400 W Newberry Rd Ste 101, Gainesville, FL 32605. The listed phone number is (352) 333-4301.

What is Krystal Hemingway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Krystal Hemingway enrolled in Medicare?

Yes. Krystal Hemingway 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 Krystal Hemingway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Hemingway reassigns Medicare benefits to 2 organizations: North Florida Surgical Associates LLC (Gainesville, FL) and Florida Clinical Practice Association Inc (Gainesville, FL). 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 Krystal Hemingway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystal Hemingway accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Krystal Hemingway 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 Krystal Hemingway affiliated with any hospitals?

According to CMS data, Krystal Hemingway is affiliated with Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Krystal Hemingway was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.