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CRYSTAL DALE APRN
NPI 1548576937
Nurse Practitioner - Family in Lexington, KY

Active since August 24, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 S LIMESTONE ST, LEXINGTON, KY 40536(859) 323-8082(859) 323-2441 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Crystal Dale Aprn NPPES

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

CRYSTAL DALE APRN (NPI 1548576937) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3006490) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1548576937
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL DALECredential: APRN
Location Address740 S LIMESTONE STLexington, KY 40536-0284
Mailing Address740 S Limestome E101Lexington, KY 40536-0284 · (859) 323-8082 · Fax (859) 323-2441
Phone(859) 323-8082
Fax(859) 323-2441
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 24, 2010
Last NPPES UpdateJanuary 23, 2015
✔ NPI 1548576937 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 · 3006490
740 S LIMESTONE ST, Lexington, KY 40536
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100138670KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Crystal Dale 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 ID143441816
PECOS Enrollment IDI20141021002889
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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.

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.

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

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.

KATHLEEN M. EBBITT APRN
Nurse Practitioner (Family)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Fayette County (859) 218-1632
MEGHA DESAI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
740 S LIMESTONE ST, ENDOCRINE CLINIC, 2ND FLOOR, WING C
LEXINGTON, KY 40536
Fayette County (859) 323-2232
ABBY B. MATTINGLY AU.D.
Audiologist
740 S LIMESTONE ST, SUITE B317
LEXINGTON, KY 40536
Fayette County (859) 257-3390
MS. ELLEN E RATCLIFFE DNP
Nurse Practitioner (Acute Care)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Fayette County (859) 323-5045
ANDREA MARGARET GORRINGE PAC
Physician Assistant (Medical)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Fayette County (859) 323-0079
DR. SALLY VALENTINA MATHIAS MD
Psychiatry & Neurology (Neurology)
740 S LIMESTONE ST, J401
LEXINGTON, KY 40536
Fayette County (859) 323-5661
LOUIS IRVING BEZOLD III MD
Pediatrics (Pediatric Cardiology)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Fayette County (859) 323-1432
LYNN ANN KELSO ARNP
Nurse Practitioner (Acute Care)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Fayette County (859) 257-3253

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 Dale's NPI number?

The NPI number for Crystal Dale is 1548576937. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Crystal Dale located?

Crystal Dale practices at 740 S Limestone St, Lexington, KY 40536. The listed phone number is (859) 323-8082.

What is Crystal Dale's specialty?

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

Is Crystal Dale enrolled in Medicare?

Yes. Crystal Dale 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.

What insurance does Crystal Dale accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Crystal Dale 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 Crystal Dale affiliated with any hospitals?

According to CMS data, Crystal Dale is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Crystal Dale was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.