CRYSTAL MCCOY (NP) – Family Nurse Practitioner, NPI 1992253090

CRYSTAL MCCOY (NP) is a healthcare provider. based in Vernon, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 901772 (MS). The NPI Number for CRYSTAL MCCOY (NP) is 1992253090

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL MCCOY (NP)
NPI
1992253090
Phone
(205) 431-6906
Address
44946 HIGHWAY 17
Enumeration Date
17 September 2016
Last Update Date
21 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2055571300
Graduation Year
2016 (10 years ago)
PAC ID
2062795446
Group Practice PAC ID
1254674492
Professional Enrollment ID
I20170208003065
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

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Provider Addresses for CRYSTAL MCCOY (NP)

  • Vernon, Rue de Montigny, Fieschi, Vernon, Les Andelys, Eure, Normandy, Metropolitan France, 27200, France

    VERNON, AL 355923542

    Phone: (205) 431-6906

    Type: Location

  • 18, Mount Vernon Avenue, Riverside, Riverside County, California, 92507, United States

    VERNON, AL 355923542

    Phone: (205) 431-6906

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170208003065INurse PractitionerALTBD
I20170511000594INurse PractitionerMSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35592)

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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: 1254674492View full group profile
NameSpecialtyState
-MD

Reviews

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Frequently asked questions

What NPI should I save for CRYSTAL MCCOY (NP)?
Save NPI 1992253090 if you need a stable reference for CRYSTAL MCCOY (NP).
Is CRYSTAL MCCOY (NP)'s NPI currently valid?
The extract we use shows CRYSTAL MCCOY (NP) as active.
What field does CRYSTAL MCCOY (NP) work in?
You can think of CRYSTAL MCCOY (NP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CRYSTAL MCCOY (NP)'s primary listing?
We display Vernon, Alabama because that is what the record indicates for CRYSTAL MCCOY (NP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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