CRISTAL MAE HARRISON
NPI 1720713407
Nurse Practitioner - Family in Glasgow, KY
About Cristal Mae Harrison NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRISTAL MAE HARRISON (NPI 1720713407) is an individual family provider in Glasgow, Kentucky, licensed in Kentucky (3017564) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of Other (2019).
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
Cristal Mae Harrison 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 Reassignment
Medicare enrollment records show Cristal Harrison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Ridge, TN 37830
- Reassigned Medicare billing, Kentucky enrollment
- 358 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
T J Samson Community Hospital
Acute Care Hospitals · Glasgow, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GLASGOW, KY 42141
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 Cristal Harrison's NPI number?
The NPI number for Cristal Harrison is 1720713407. It was assigned to this individual provider in the NPPES registry on July 18, 2022.
Where is Cristal Harrison located?
Cristal Harrison practices at 1301 N Race St, Glasgow, KY 42141. The listed phone number is (270) 651-4444.
What is Cristal Harrison's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cristal Harrison enrolled in Medicare?
Yes. Cristal Harrison 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 organization bills Medicare for Cristal Harrison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cristal Harrison reassigns Medicare benefits to Southeastern Physician Services PC (Oak Ridge, TN). 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 Cristal Harrison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Cristal Harrison affiliated with any hospitals?
According to CMS data, Cristal Harrison is affiliated with T J Samson Community Hospital.
When was this NPI record last updated?
The NPPES record for Cristal Harrison was last updated on August 11, 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.
# Cristal Mae Harrison · NPI 1720713407
Family physician in Glasgow, Kentucky. Individual provider, active in the CMS NPPES registry since July 18, 2022.
## Identity
- **NPI:** 1720713407 (Entity type: Individual)
- **Enumerated:** July 18, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3017564 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 N RACE ST, Glasgow, KY 42141-3483
- **Phone:** (270) 651-4444
## 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:** Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720713407) · Data from the CMS NPPES public registry.