CRYSTAL SUE DOBSON APRN
NPI 1992461347
Nurse Practitioner - Family in Lexington, KY

Active since November 10, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE ST WHITNEY HENDRICKSON BLDG, STE 331A, LEXINGTON, KY 40536(859) 323-5553 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 24, 2022, Nov 10, 2021 (2 updates tracked since 2021).

About Crystal Sue Dobson Aprn NPPES

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

CRYSTAL SUE DOBSON APRN (NPI 1992461347) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3016990) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992461347
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL SUE DOBSONCredential: APRN
Location Address800 ROSE ST WHITNEY HENDRICKSON BLDG, STE 331ALexington, KY 40536-0098
Mailing Address1306 Versailles Rd Ste 120Lexington, KY 40504-1795 · (859) 259-2635
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 10, 2021
Last NPPES UpdateMay 1, 20252 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
✔ NPI 1992461347 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 KY · 3016990
800 ROSE ST WHITNEY HENDRICKSON BLDG, Lexington, KY 40536

Secondary Practice Location 1

Location 11306 Versailles Rd Ste 120Lexington, KY 40504-1795 · Phone (859) 259-2635

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 Sue Dobson 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 ID1355734021
PECOS Enrollment IDI20220202001784
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

5

Medicare enrollment records show Crystal Dobson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
800 ROSE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
224 N MARTIN LUTHER KING BLVD STE 200
Lexington, KY 40507
  • Reassigned Medicare billing, Kentucky enrollment
  • 17 clinicians in this Medicare group
General Practice
424 JETT DR
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
Public Health, State or Local
806 SEATON AVE, SUITE 1
Greenup, KY 41144
  • Reassigned Medicare billing, Kentucky enrollment
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 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.

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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

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.

Massage Therapist
800 ROSE ST WHITNEY HENDRICKSON BLDG, RM 306
LEXINGTON, KY 40536
Acupuncturist
800 ROSE ST WHITNEY HENDRICKSON BLDG, RM 306
LEXINGTON, KY 40536
Pharmacist (Oncology)
800 ROSE ST WHITNEY HENDRICKSON BLDG
LEXINGTON, KY 40536

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 Dobson's NPI number?

The NPI number for Crystal Dobson is 1992461347. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Crystal Dobson located?

Crystal Dobson practices at 800 Rose St Whitney Hendrickson Bldg Ste 331A, Lexington, KY 40536. The listed phone number is (859) 323-5553.

What is Crystal Dobson's specialty?

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

Is Crystal Dobson enrolled in Medicare?

Yes. Crystal Dobson 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 Dobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Dobson reassigns Medicare benefits to 5 organizations: University Of Kentucky (Lexington, KY), Bluegrass Primary Health Care Center, Inc. (Lexington, KY), Jackson Physician Corp (Jackson, KY), Greenup Co Health Dept (Greenup, KY) and Signify Health, LLC (Dallas, TX). 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 Dobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Dobson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Crystal Dobson 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 Dobson was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.