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

NPI Status: Active since August 24, 2021

Contact Information

16916 NW US HIGHWAY 441
HIGH SPRINGS, FL
ZIP 32643
Phone: (386) 454-0568
Fax: (352) 224-7899

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  • Individual
  • Female
  • Years of Experience 3
  • Nurse Practitioner
  • Family
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About KRYSTAL HEMINGWAY

Krystal Hemingway is a provider established in High Springs, Florida and her medical specialization is Nurse Practitioner with a focus in family with more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1437826815 assigned on August 2021. The practitioner's primary taxonomy code is 363LF0000X with license number APRN11014042 (FL). The provider is registered as an individual and her NPI record was last updated April 2024.

NPI
1437826815
Provider Name
DR. KRYSTAL JEAN HEMINGWAY DNP, APRN, FNP-C
Gender
Female
Entity Type
Individual
Location Address
16916 NW US HIGHWAY 441 HIGH SPRINGS, FL 32643
Location Phone
(386) 454-0568
Location Fax
(352) 224-7899
Mailing Address
23343 NW COUNTY ROAD 236 HIGH SPRINGS, FL 32643
Mailing Phone
(386) 454-0698
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
08-24-2021
Last Update Date
04-16-2024
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A nurse practitioner (NP) like Krystal Hemingway is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Krystal Hemingway is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.56 for a new patient copayment and $25.94 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APRN11014042
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

APRN11014042 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arizona Complete Health

    • Standard Expanded Bronze SELECT - HMO
    • Standard Gold SELECT - HMO
    • Standard Silver SELECT - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
  • Ambetter from Sunshine Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Clear VALUE Silver - HMO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
  • Ambetter from Superior HealthPlan

    • Clear VALUE Silver - HMO
    • Complete VALUE Silver - HMO
    • Everyday VALUE Gold - HMO
    • Focused VALUE Silver - HMO
    • Standard Gold VALUE - HMO
    • Standard Silver VALUE - HMO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
    • Everyday Silver - EPO
    • Everyday Silver + Vision + Adult Dental - EPO
  • Ambetter of Tennessee

    • Standard Expanded Bronze SELECT - EPO
    • Standard Gold SELECT - EPO
    • Standard Silver SELECT - EPO
  • AvMed

    • AvMed Entrust Bronze 600 (2024) - HMO
    • AvMed Entrust Bronze 625 Dental+Vision (2024) - HMO
    • AvMed Entrust Bronze 650 (2024) - HMO
    • AvMed Entrust Expanded Bronze Standard (2024) - HMO
    • AvMed Entrust Gold 125 (2024) - HMO
    • AvMed Entrust Gold 125 Dental+Vision (2024) - HMO
    • AvMed Entrust Gold Standard (2024) - HMO
    • AvMed Entrust Platinum 25 (2024) - HMO
    • AvMed Entrust Platinum 25 Dental+Vision (2024) - HMO
    • AvMed Entrust Platinum Standard (2024) - HMO
  • Molina Healthcare

    • Bronze 4 - HMO
    • Bronze 8 - HMO
    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
    • Silver 8 - HMO
    • Silver 9 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Krystal Hemingway is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8527466929

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20211015001800

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32643 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.24
  • Minimum New Patient Price $58.4
  • Maximum New Patient Price $178.79
  • Average New Patient Copayment $22.56
  • Minimum New Patient Copayment $14.6
  • Maximum New Patient Copayment $44.69

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.76
  • Minimum Established Patient Price $17.74
  • Maximum Established Patient Price $145.28
  • Average Established Patient Copayment $25.94
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $36.32

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Krystal Hemingway is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UF HEALTH SHANDS HOSPITAL1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-8000Acute Care Hospitals

Reviews for DR. KRYSTAL JEAN HEMINGWAY DNP, APRN, FNP-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437826815
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24671621282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 6 + 2 + 1 + 2 + 8 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1437826815 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114789336TRENTON MEDICAL CENTER, INC.
Organization
Pharmacy (Community/Retail Pharmacy)16916 NW US HIGHWAY 441
HIGH SPRINGS, FL 32643
(386) 799-2050
1174380182 ANGELI E HARRIS APRN
Individual
Nurse Practitioner (Family)16916 NW US HIGHWAY 441
HIGH SPRINGS, FL 32643
(386) 454-0568
1588086060TRENTON MEDICAL CENTER, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))16916 NW US HIGHWAY 441
HIGH SPRINGS, FL 32643
(386) 454-0568
1902870868 ELIZABETH A. BURKETT DO
Individual
Family Medicine16916 NW US HIGHWAY 441
HIGH SPRINGS, FL 32643
(386) 454-0568
1912595729 VERONICA MCNICHOLS APRN
Individual
Nurse Practitioner (Family)16916 NW US HIGHWAY 441
HIGH SPRINGS, FL 32643
(386) 454-0568
1962135533 LESLIE RIVERS APRN
Individual
Nurse Practitioner (Family)16916 NW US HIGHWAY 441
HIGH SPRINGS, FL 32643
(386) 454-0568

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437826815, enumerated in the NPI registry as an "individual" on August 24, 2021

The provider is located at 16916 Nw Us Highway 441 High Springs, Fl 32643 and the phone number is (386) 454-0568

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $90.24 with an average copayment of $22.56 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): UF HEALTH SHANDS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 24, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.