CHRYSTAL SHIRLEY APRN
NPI 1639759764
Nurse Practitioner in Leesburg, FL

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
215 N 3RD ST, LEESBURG, FL 34748(352) 315-7900 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2021, Apr 13, 2021 (2 updates tracked since 2021).

About Chrystal Shirley Aprn NPPES

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

CHRYSTAL SHIRLEY APRN (NPI 1639759764) is an individual nurse practitioner in Leesburg, Florida, licensed in Florida (11012141) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639759764
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHRYSTAL SHIRLEYCredential: APRN
Location Address215 N 3RD STLeesburg, FL 34748-5105
Mailing Address1169 Baltic LnWinter Springs, FL 32708-5161 · (917) 698-9121
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 13, 2021
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1639759764 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 · 11012141
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.

215 N 3RD ST, Leesburg, FL 34748

Secondary Practice Locations 2

Location 11169 Baltic LnWinter Springs, FL 32708-5161 · Phone (917) 698-9121
Location 2201 E Magnolia AveEustis, FL 32726-3583 · Phone (352) 357-1550

Accepted 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

Chrystal Shirley 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 ID7214337013
PECOS Enrollment IDI20210616001246
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

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.
19 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 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.

Other Providers at the Same Location NPPES 14

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

Counselor
215 N 3RD ST
LEESBURG, FL 34748
Counselor
215 N 3RD ST
LEESBURG, FL 34748
Nurse Practitioner (Psychiatric/Mental Health)
215 N 3RD ST
LEESBURG, FL 34748
Psychiatry & Neurology (Child & Adolescent Psychiatry)
215 N 3RD ST
LEESBURG, FL 34748
Psychiatry & Neurology (Psychiatry)
215 N 3RD ST
LEESBURG, FL 34748
Pharmacy (Long Term Care Pharmacy)
215 N 3RD ST
LEESBURG, FL 34748
Social Worker
215 N 3RD ST
LEESBURG, FL 34748
Counselor (Mental Health)
215 N 3RD ST
LEESBURG, FL 34748

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 Chrystal Shirley's NPI number?

The NPI number for Chrystal Shirley is 1639759764. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Chrystal Shirley located?

Chrystal Shirley practices at 215 N 3rd St, Leesburg, FL 34748. The listed phone number is (352) 315-7900.

What is Chrystal Shirley's specialty?

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

Is Chrystal Shirley enrolled in Medicare?

Yes. Chrystal Shirley 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 Chrystal Shirley accept?

Health plans from Ambetter Health and Ambetter of Alabama list Chrystal Shirley 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 Chrystal Shirley was last updated on October 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.