CRYSTAL DAWN LANE PMHNP-BC
NPI 1811633845
Nurse Practitioner - Psychiatric/Mental Health in Fort Myers, FL
About Crystal Dawn Lane Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL DAWN LANE PMHNP-BC (NPI 1811633845) is an individual psychiatric/mental health provider in Fort Myers, Florida, licensed in Florida (11029121) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Naples, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
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 Dawn Lane Pmhnp-bc 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
2Medicare enrollment records show Crystal Lane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Myers, FL 33907
- Reassigned Medicare billing, Florida enrollment
- 34 clinicians in this Medicare group
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 30 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 33907 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.
Reported Quality Measures
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MYERS, FL 33907
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 Lane's NPI number?
The NPI number for Crystal Lane is 1811633845. It was assigned to this individual provider in the NPPES registry on May 11, 2022.
Where is Crystal Lane located?
Crystal Lane practices at 12811 Kenwood Ln Ste 202, Fort Myers, FL 33907. The listed phone number is (239) 537-9646.
What is Crystal Lane's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Crystal Lane enrolled in Medicare?
Yes. Crystal Lane 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 Lane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Lane reassigns Medicare benefits to 2 organizations: Therapy Treatment Team LLC (Fort Myers, FL) and Honour Brite LLC (Springfield, MO). 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 Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystal Lane accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Crystal Lane 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 Lane was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Crystal Dawn Lane, PMHNP-BC · NPI 1811633845
Psychiatric/Mental Health physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since May 11, 2022.
## Identity
- **NPI:** 1811633845 (Entity type: Individual)
- **Enumerated:** May 11, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 11029121 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 12811 KENWOOD LN STE 202, Fort Myers, FL 33907-5646
- **Phone:** (239) 537-9646 · **Fax:** (239) 236-0866
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Therapy Treatment Team LLC (NPI 1053858316, Fort Myers, FL); Honour Brite LLC (NPI 1548760820, Springfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 26, 2025
- **Other identifiers:** Medicaid 120758800 (FL); Medicaid 420109430 (MO); Medicaid 284170758 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1811633845) · Data from the CMS NPPES public registry.