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CRYSTA DEVINE APRN
NPI 1457009169
Nurse Practitioner - Family in Louisville, KY

Active since March 11, 2022PECOS EnrolledAccepts Medicare Assignment
104 DAVENTRY LN, LOUISVILLE, KY 40223(502) 200-7043 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Nov 23, 2022, Mar 11, 2022 (3 updates tracked since 2022).

About Crysta Devine Aprn NPPES

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

CRYSTA DEVINE APRN (NPI 1457009169) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3017544) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457009169
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTA DEVINECredential: APRN
Location Address104 DAVENTRY LNLouisville, KY 40223-2883
Mailing Address104 Daventry LaneLouisville, KY 40223 · (502) 200-7043
Phone(502) 200-7043
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 11, 2022
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1457009169 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 KY · 3017544
104 DAVENTRY LN, Louisville, KY 40223
Open in Google Maps ↗

Other Identifiers 1

Other3017544KY · Aprn License Number

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

Crysta Devine Aprn 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 ID2365838984
PECOS Enrollment IDI20220407002644
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
3,314 services414 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,251 services400 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40223 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

SIMPLICITY MONITORING AND DIAGNOSTICS LLC
Home Health
104 DAVENTRY LN
LOUISVILLE, KY 40223
Jefferson County (502) 445-7957
SIMPLICITY HEALTH BILLING AND STAFFING LLC
Nursing Facility/Intermediate Care Facility
104 DAVENTRY LN
LOUISVILLE, KY 40223
Jefferson County (502) 445-7957

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 Crysta Devine's NPI number?

The NPI number for Crysta Devine is 1457009169. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Where is Crysta Devine located?

Crysta Devine practices at 104 Daventry Ln, Louisville, KY 40223. The listed phone number is (502) 200-7043.

What is Crysta Devine's specialty?

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

Is Crysta Devine enrolled in Medicare?

Yes. Crysta Devine 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.

When was this NPI record last updated?

The NPPES record for Crysta Devine was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.