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CRYSTAL DAWN LANE PMHNP-BC
NPI 1811633845
Nurse Practitioner - Psychiatric/Mental Health in Fort Myers, FL

Active since May 11, 2022PECOS EnrolledAccepts Medicare Assignment
98.13/100
CMS Quality Rating
12811 KENWOOD LN STE 202, FORT MYERS, FL 33907(239) 537-9646(239) 236-0866 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Jun 7, 2024, Nov 2, 2023 and 2 more (5 updates tracked since 2022).

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

NPI1811633845
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCRYSTAL DAWN LANECredential: PMHNP-BC
Location Address12811 KENWOOD LN STE 202Fort Myers, FL 33907-5646
Mailing Address6252 S Philmar DrSpringfield, MO 65804-7904 · (417) 350-8236
Phone(239) 537-9646
Fax(239) 236-0866
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 11, 2022
Last NPPES UpdateSeptember 26, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1811633845 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
Licenses✔ Licensed in FL · 11029121✔ Licensed in AR · 220223✔ Licensed in MO · 2022017504
12811 KENWOOD LN STE 202, Fort Myers, FL 33907
Open in Google Maps ↗

Secondary Practice Location 1

Location 12345 Stanford Ct Ste 602Naples, FL 34112-4841 · Phone (239) 537-9646 · Fax (239) 236-0866

Other Identifiers 3

Medicaid120758800FL
Medicaid420109430MO
Medicaid284170758AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID4789061102
PECOS Enrollment IDI20231207000310
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 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.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

98.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.1
Promoting Interoperability100
Improvement Activities40
Cost100

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
29%116 patients
Controlling High Blood Pressure
87%83 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,281 patients5/55-star benchmark: 100%
e-Prescribing
99%1,405 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
67%288 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 76% · 1,441 patients
Patients screened: 96% · 1,441 patients
38%478 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
85%462 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
63%48 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

THERAPY TREATMENT TEAM LLC
Counselor (Mental Health)
12811 KENWOOD LN STE 202
FORT MYERS, FL 33907
Lee County (239) 537-9646
ELAINA ROSE SWANSON MA
Counselor (Mental Health)
12811 KENWOOD LN STE 202
FORT MYERS, FL 33907
Lee County (253) 358-0061
MRS. ASHLEY ANN GORI
Social Worker (Clinical)
12811 KENWOOD LN STE 202
FORT MYERS, FL 33907
Lee County (239) 537-9646
DR. YAROSLABA GARCIA
Counselor (Mental Health)
12811 KENWOOD LN STE 202
FORT MYERS, FL 33907
Lee County (239) 537-9646
STEFANIE SEARS
Counselor (Mental Health)
12811 KENWOOD LN STE 202
FORT MYERS, FL 33907
Lee County (239) 537-9646
THERAPY TREATMENT TEAM, LLC
Nurse Practitioner (Psychiatric/Mental Health)
12811 KENWOOD LN STE 202
FORT MYERS, FL 33907
Lee County (239) 537-9646
CATHERINE CORTES
Counselor (Mental Health)
12811 KENWOOD LN STE 202
FORT MYERS, FL 33907
Lee County (239) 537-9646
NINA HOLLY JANOWICZ
Counselor (Mental Health)
12811 KENWOOD LN STE 202
FORT MYERS, FL 33907
Lee County (239) 537-9646

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.

What insurance does Crystal Lane accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cox HealthPlans and Florida Blue (BlueCross BlueShield FL) and 3 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 10 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.