MRS. CRYSTAL ELAINE CLOUGH FNP
NPI 1659092385
Nurse Practitioner - Family in Cartersville, GA
About Mrs. Crystal Elaine Clough Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CRYSTAL ELAINE CLOUGH FNP (NPI 1659092385) is an individual family provider in Cartersville, Georgia, licensed in Georgia (RN269181) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Crystal Elaine Clough Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Crystal Clough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 343 clinicians in this Medicare group
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 30121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Clough's NPI number?
The NPI number for Crystal Clough is 1659092385. It was assigned to this individual provider in the NPPES registry on September 12, 2022.
Where is Crystal Clough located?
Crystal Clough practices at 39 Freedom Dr NE, Cartersville, GA 30121. The listed phone number is (706) 844-7132.
What is Crystal Clough's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystal Clough enrolled in Medicare?
Yes. Crystal Clough is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Crystal Clough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Clough reassigns Medicare benefits to 24 On Physicians, PC (Rome, GA). The 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 Clough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystal Clough accept?
Health plans from Alliant Health Plans, Inc. list Crystal Clough 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 Clough was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Crystal Elaine Clough, FNP · NPI 1659092385
Family physician in Cartersville, Georgia. Individual provider, active in the CMS NPPES registry since September 12, 2022.
## Identity
- **NPI:** 1659092385 (Entity type: Individual)
- **Enumerated:** September 12, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN269181 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 39 FREEDOM DR NE, Cartersville, GA 30121-8095
- **Phone:** (706) 844-7132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 24 On Physicians, PC (NPI 1912956251, Rome, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659092385) · Data from the CMS NPPES public registry.