CRYSTAL THREADGILL – Psychiatric/Mental Health Nurse Practitioner, NPI 1528500907

CRYSTAL THREADGILL is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-072567 (AL). The NPI Number for CRYSTAL THREADGILL is 1528500907

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL THREADGILL
NPI
1528500907
Phone
(251) 300-7134
Address
3737 GOVERNMENT BLVD STE 203
Enumeration Date
16 November 2016
Last Update Date
16 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2513007134
Graduation Year
2016 (10 years ago)
PAC ID
5294018396
Group Practice PAC ID
5294022174
Professional Enrollment ID
I20170216000199
Address ID
AL366934310MO3737XBLVD301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for CRYSTAL THREADGILL

  • Government Boulevard, Mobile, Mobile County, Alabama, 36601, United States

    MOBILE, AL 366934310

    Phone: (251) 300-7134

    Fax: (251) 202-7851

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $761.

Total Amount is formed as General ($761) + Research ($0) + Ownership ($0) = $761.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($418).

Total Amount

$761

General + Research + Ownership

Payments

56

Total payment records

General Amount

$761

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170216000199INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90833Psychotherapy with evaluation and management visit, 30 minutes4115$0
99214Established patient office or other outpatient visit, 30-39 minutes2611$0
View full utilization report →

Insurance plans in this area (ZIP 36693)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294022174View full group profile
NameSpecialtyState
P S Y C H I A T R YAL
Mental Health CounselorAL
Nurse PractitionerAL
Nurse PractitionerAL
Clinical Social WorkerAL
Nurse PractitionerAL
-AL
Clinical Social WorkerAL
Physician AssistantAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

How do I look up CRYSTAL THREADGILL by NPI?
Use NPI 1528500907 when you need to reference CRYSTAL THREADGILL in forms, claims, or directories.
Is CRYSTAL THREADGILL's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CRYSTAL THREADGILL list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for CRYSTAL THREADGILL. Clinical services aligned with this taxonomy classification.
Does CRYSTAL THREADGILL practice in Alabama?
You will see Mobile, Alabama on file for CRYSTAL THREADGILL alongside any extra practice locations.
Is CRYSTAL THREADGILL a real provider?
This page reflects official NPPES data for NPI 1528500907. Always confirm identity and privileges with the practice and licensing boards.

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