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KRYSTAL KAY LAVINE
NPI 1821586207
Nurse Practitioner - Family in Bourbon, IN

Active since May 01, 2018PECOS EnrolledAccepts Medicare Assignment
114 N WASHINGTON ST, BOURBON, IN 46504(574) 335-7850(574) 335-0755 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 3, 2024, Nov 9, 2023, Mar 15, 2023 and 2 more (5 updates tracked since 2018).

About Krystal Kay Lavine NPPES

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

KRYSTAL KAY LAVINE (NPI 1821586207) is an individual family provider in Bourbon, Indiana, licensed in Indiana (71008330A) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center - Plymouth, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821586207
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTAL KAY LAVINE
Location Address114 N WASHINGTON STBourbon, IN 46504-1623
Mailing Address5215 Holy Cross PkwyMishawaka, IN 46545-1469
Phone(574) 335-7850
Fax(574) 335-0755
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 1, 2018
Last NPPES UpdateOctober 3, 20245 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1821586207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71008330A
114 N WASHINGTON ST, Bourbon, IN 46504
Open in Google Maps ↗

Other Identifiers 2

Medicaid300020124IN
Other1102236362IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Krystal Kay Lavine 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 ID2466705181
PECOS Enrollment IDI20181026001342
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
268 services150 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
99 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services56 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
56 services44 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
55 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services45 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151300
Location1020 High RdBremen, IN 46506 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46504 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers28 claims61 services$5.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. BARBARA JANE KUNNEN MS, RN, FNP-C
Nurse Practitioner (Family)
114 N WASHINGTON ST
BOURBON, IN 46504
Marshall County (574) 335-7850
CHESTER LYNN ROGERS M.D.
Family Medicine
114 N WASHINGTON ST
BOURBON, IN 46504
Marshall County (574) 342-2444
MRS. JENNIFER ROBYN FRIBERG N.P.
Nurse Practitioner (Family)
114 N WASHINGTON ST
BOURBON, IN 46504
Marshall County (574) 335-7850

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 Krystal Lavine's NPI number?

The NPI number for Krystal Lavine is 1821586207. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Krystal Lavine located?

Krystal Lavine practices at 114 N Washington St, Bourbon, IN 46504. The listed phone number is (574) 335-7850.

What is Krystal Lavine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Krystal Lavine enrolled in Medicare?

Yes. Krystal Lavine 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 Krystal Lavine accept?

Health plans from CareSource list Krystal Lavine 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.

Is Krystal Lavine affiliated with any hospitals?

According to CMS data, Krystal Lavine is affiliated with Saint Joseph Regional Medical Center - Plymouth and Community Hospital Of Bremen Inc.

When was this NPI record last updated?

The NPPES record for Krystal Lavine was last updated on October 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.