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CRYSTAL LEE
NPI 1801404744
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

Active since July 16, 2020PECOS Enrolled
10560 MAIN ST STE 310, FAIRFAX, VA 22030(856) 313-2521 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Mar 8, 2024, Jul 16, 2020 (3 updates tracked since 2020).

About Crystal Lee NPPES

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

CRYSTAL LEE (NPI 1801404744) is an individual psychiatric/mental health provider in Fairfax, Virginia, licensed in Virginia (0024179648) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801404744
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCRYSTAL LEE
Location Address10560 MAIN ST STE 310Fairfax, VA 22030-7175
Mailing Address24672 Pantzlaff Farm TerSterling, VA 20166-2751 · (856) 313-2521
Phone(856) 313-2521
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 16, 2020
Last NPPES UpdateDecember 18, 20243 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1801404744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024179648
10560 MAIN ST STE 310, Fairfax, VA 22030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113371758
PECOS Enrollment IDI20230929002456
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 4

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

ESSENTIAL HEALTH PLLC
Nurse Practitioner (Psychiatric/Mental Health)
10560 MAIN ST STE 310
FAIRFAX, VA 22030
Fairfax City (856) 313-2521
MR. SETH YAVIT LPC
Counselor (Mental Health)
10560 MAIN ST STE 310
FAIRFAX, VA 22030
Fairfax City (571) 277-1771
LAUREN DOROSKI LCSW
Social Worker (Clinical)
10560 MAIN ST STE 310
FAIRFAX, VA 22030
Fairfax City (703) 581-8693
CAITLIN ELIZABETH DEMULDER
Social Worker (Clinical)
10560 MAIN ST STE 310
FAIRFAX, VA 22030
Fairfax City (571) 277-1771

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 Lee's NPI number?

The NPI number for Crystal Lee is 1801404744. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Crystal Lee located?

Crystal Lee practices at 10560 Main St Ste 310, Fairfax, VA 22030. The listed phone number is (856) 313-2521.

What is Crystal Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Crystal Lee enrolled in Medicare?

Yes. Crystal Lee is registered in the Medicare PECOS enrollment system.

What insurance does Crystal Lee accept?

Health plans from Providence Health Plan list Crystal Lee 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 Lee was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.