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CRYSTAL TERRY DNP
NPI 1619761558
Nurse Practitioner in Willard, UT

Active since April 07, 2025PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Apr 6, 2026, Apr 7, 2025 (3 updates tracked since 2025).

About Crystal Terry Dnp NPPES

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

CRYSTAL TERRY DNP (NPI 1619761558) is an individual nurse practitioner in Willard, Utah, licensed in Utah (9806366-4405) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ogden, and is a graduate of University Of Cincinnati College Of Medicine (2024).

NPPES Registry Identity

NPI1619761558
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCRYSTAL TERRYCredential: DNP
Location AddressPO BOX 161Willard, UT 84340-0161
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(435) 287-5092
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2024
Enumeration DateApril 7, 2025
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1619761558 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 UT · 9806366-4405
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.
PO BOX 161, Willard, UT 84340
Open in Google Maps ↗

Secondary Practice Location 1

Location 14403 Harrison Blvd Ste 2835Ogden, UT 84403-3327 · Phone (801) 387-7945

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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 Terry Dnp 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 ID6709305139
PECOS Enrollment IDI20250528003184
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 Terry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
5.7 mi
Obstetrics & Gynecology
980 MEDICAL DR, SUITE 1
Brigham City, UT 84302
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1982748679 (435) 279-8617
Jordan Landing Family Medicine LLC
55 mi
Family Medicine
3895 W 7800 S SUITE 100
West Jordan, UT 84088
  • Reassigned Medicare billing, Utah enrollment
  • 9 clinicians in this Medicare group
NPI 1962606657 (801) 280-7774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84340 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Terry's NPI number?

The NPI number for Crystal Terry is 1619761558. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Crystal Terry located?

Crystal Terry practices at PO Box 161, Willard, UT 84340. The listed phone number is (435) 287-5092.

What is Crystal Terry's specialty?

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

Is Crystal Terry enrolled in Medicare?

Yes. Crystal Terry 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 Terry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Terry reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Brigham City, UT) and Jordan Landing Family Medicine LLC (West Jordan, UT). 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 Terry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Terry accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Crystal Terry 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 Terry was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.