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CRYSTAL STAR GARCIA APRN
NPI 1972112654
Nurse Practitioner - Family in Fort Scott, KS

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment
2322 S MAIN ST, FORT SCOTT, KS 66701(620) 223-8040(620) 223-8002 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 31, 2023, Jun 29, 2021, Jun 9, 2021 and 2 more (5 updates tracked since 2020).

About Crystal Star Garcia Aprn NPPES

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

CRYSTAL STAR GARCIA APRN (NPI 1972112654) is an individual family provider in Fort Scott, Kansas, licensed in Kansas (80233) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Neosho Memorial Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972112654
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL STAR GARCIACredential: APRN
Location Address2322 S MAIN STFort Scott, KS 66701-3026
Mailing AddressPo Box 1832Pittsburg, KS 66762-1832
Phone(620) 223-8040
Fax(620) 223-8002
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 28, 2020
Last NPPES UpdateMay 31, 20235 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
✔ NPI 1972112654 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 KS · 80233
2322 S MAIN ST, Fort Scott, KS 66701
Open in Google Maps ↗

Other Identifiers 4

Other110931219KS · Medicare
Medicaid200985650AOK
Medicaid201331240AKS
Medicaid420096347MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter of Oklahoma and more.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 Star Garcia Aprn 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 ID8729488101
PECOS Enrollment IDI20250926003986, I20251213000471
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Crystal Garcia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Center Of Southeast Kansas, Inc.
Same address
Federally Qualified Health Center (FQHC)
2322 S MAIN ST
Fort Scott, KS 66701
  • Reassigned Medicare billing, Kansas enrollment
  • 177 clinicians in this Medicare group
NPI 1336624527 (620) 231-9873
Neosho Memorial Regional Medical Center
34 mi
Rural Health
13920 HIGHWAY 59
Erie, KS 66733
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1023251469 (Kansas)
  • 46 clinicians in this Medicare group
NPI 1679902126 (620) 244-5105
Boulder Care Provider Group PA
1,532 mi
Addiction Medicine
111 SW NAITO PKWY STE 200
Portland, OR 97204
  • Reassigned Medicare billing, North Carolina and Ohio enrollments
  • 76 clinicians in this Medicare group
NPI 1649838590 (888) 316-0451

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Neosho Memorial Regional Medical Center

Critical Access Hospitals · Chanute, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171380
Location629 South PlummerChanute, KS 66720 · Neosho County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66701 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.46 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 20

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

COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
2322 S MAIN ST
FORT SCOTT, KS 66701
Bourbon County (620) 223-8040
WILLIAM T CARL APRN
Nurse Practitioner (Community Health)
2322 S MAIN ST
FORT SCOTT, KS 66701
Bourbon County (888) 777-9170
DANIELLE M BENNETT RN
Nurse Practitioner (Family)
2322 S MAIN ST
FORT SCOTT, KS 66701
Bourbon County (620) 223-8040
VICKI CARLENE SLONIKER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2322 S MAIN ST
FORT SCOTT, KS 66701
Bourbon County (888) 777-9170
IRVIN GARCIA-AUGUR LMSW
Social Worker
2322 S MAIN ST
FORT SCOTT, KS 66701
Bourbon County (888) 777-9170
GREGORY J KING APRN
Nurse Practitioner
2322 S MAIN ST
FORT SCOTT, KS 66701
Bourbon County (620) 223-8064
ANNA K O'DELL APRN
Nurse Practitioner (Family)
2322 S MAIN ST
FORT SCOTT, KS 66701
Bourbon County (620) 223-8428
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2322 S MAIN ST
FORT SCOTT, KS 66701
Bourbon County (620) 231-9873

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 Garcia's NPI number?

The NPI number for Crystal Garcia is 1972112654. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Crystal Garcia located?

Crystal Garcia practices at 2322 S Main St, Fort Scott, KS 66701. The listed phone number is (620) 223-8040.

What is Crystal Garcia's specialty?

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

Is Crystal Garcia enrolled in Medicare?

Yes. Crystal Garcia 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 Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Garcia reassigns Medicare benefits to 3 organizations: Community Health Center Of Southeast Kansas, Inc. (Fort Scott, KS), Neosho Memorial Regional Medical Center (Erie, KS) and Boulder Care Provider Group PA (Portland, OR). 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 Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Garcia accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Kansas, Inc. and Medica and 1 other insurer list Crystal Garcia 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 Crystal Garcia affiliated with any hospitals?

According to CMS data, Crystal Garcia is affiliated with Neosho Memorial Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Crystal Garcia was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.