Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. CRYSTAL DAWN LEIS PMHNP
NPI 1942776596
Nurse Practitioner - Family in Largo, FL

Q: What is Crystal Leis's NPI number?

The NPI number for Crystal Leis is 1942776596. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Q: What is Crystal Leis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Crystal Leis was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.

Active since October 22, 2018PECOS Enrolled

13670 WALSINGHAM RD, LARGO, FL 33774(727) 593-9848 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 28, 2026, Sep 7, 2026, Sep 4, 2026 and 6 more (9 updates tracked since 2018).

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About Mrs. Crystal Dawn Leis Pmhnp NPPES

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

MRS. CRYSTAL DAWN LEIS PMHNP (NPI 1942776596) is an individual family provider in Largo, Florida, licensed in Kansas (78446) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942776596

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CRYSTAL DAWN LEISCredential: PMHNP

Location Address13670 WALSINGHAM RDLargo, FL 33774-3532

Mailing Address714a BroadwayMarysville, KS 66508-1842 · (785) 619-6720 · Fax (785) 619-6721

Phone(727) 593-9848

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 22, 2018

Last NPPES UpdateSeptember 28, 20269 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1942776596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KS · 78446

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License APRN11017616 (FL)

13670 WALSINGHAM RD, Largo, FL 33774

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Secondary Practice Locations 2

Location 1714A BroadwayMarysville, KS 66508-1842 · Phone (785) 619-6720 · Fax (785) 619-6721

Location 2107 S 8th StMarysville, KS 66508-1831 · Phone (785) 619-6720 · Fax (785) 619-6721

Other Identifiers 1

Medicaid30004782530001KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 (PECOS)

Mrs. Crystal Dawn Leis Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860826781

PECOS Enrollment IDI20220203001410

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 2

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 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.

38 services27 patients

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.

14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33774 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

RADICA SINGH APRN

Nurse Practitioner (Primary Care)