CRYSTAL N DEBEARY NP
NPI 1669064507
Nurse Practitioner - Family in Ellicott City, MD
About Crystal N Debeary Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL N DEBEARY NP (NPI 1669064507) is an individual family provider in Ellicott City, Maryland, licensed in Maryland (R218459) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Md Medical Center Midtown Campus, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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 N Debeary Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Crystal Debeary reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, MD 21044
- Reassigned Medicare billing, Maryland enrollment
- 95 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Shock Trauma Associates PA
- 541 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 128 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of MD Medical Center Midtown Campus
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21043 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELLICOTT CITY, MD 21043
ELLICOTT CITY, MD 21043
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 Debeary's NPI number?
The NPI number for Crystal Debeary is 1669064507. It was assigned to this individual provider in the NPPES registry on February 10, 2021.
Where is Crystal Debeary located?
Crystal Debeary practices at 2850 N Ridge Rd Ste 102, Ellicott City, MD 21043. The listed phone number is (240) 462-8872.
What is Crystal Debeary's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystal Debeary enrolled in Medicare?
Yes. Crystal Debeary 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 Debeary's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Debeary reassigns Medicare benefits to 3 organizations: Johns Hopkins Regional Physicians LLC (Columbia, MD), Shock Trauma Associates, P.A. (Baltimore, MD) and Maryland General Clinical Practice Group, Inc. (Baltimore, MD). 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 Debeary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Crystal Debeary affiliated with any hospitals?
According to CMS data, Crystal Debeary is affiliated with University Of MD Medical Center Midtown Campus.
When was this NPI record last updated?
The NPPES record for Crystal Debeary was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Crystal N Debeary, NP · NPI 1669064507
Family physician in Ellicott City, Maryland. Individual provider, active in the CMS NPPES registry since February 10, 2021.
## Identity
- **NPI:** 1669064507 (Entity type: Individual)
- **Enumerated:** February 10, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R218459 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2850 N RIDGE RD STE 102, Ellicott City, MD 21043-3396
- **Phone:** (240) 462-8872
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins Regional Physicians LLC (NPI 1578424636, Columbia, MD); Shock Trauma Associates, P.A. (NPI 1679512909, Baltimore, MD); Maryland General Clinical Practice Group, Inc. (NPI 1689413197, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1669064507) · Data from the CMS NPPES public registry.