CRYSTAL NICOLE CHANCELLOR (APRN) – Gerontology Nurse Practitioner, NPI 1013515857

CRYSTAL NICOLE CHANCELLOR (APRN) is a healthcare provider. based in Hot springs village, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 212540 (AR). The NPI Number for CRYSTAL NICOLE CHANCELLOR (APRN) is 1013515857

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL NICOLE CHANCELLOR (APRN)
NPI
1013515857
Phone
(501) 226-3220
Address
111 CORDOBA CENTER DR
Enumeration Date
14 October 2020
Last Update Date
2 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5015584111
Graduation Year
2020 (6 years ago)
PAC ID
1254700446
Group Practice PAC ID
0345305876
Professional Enrollment ID
I20221209002060
Address ID
AR722114136LI2200XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for CRYSTAL NICOLE CHANCELLOR (APRN)

  • 111 CORDOBA CENTER DR

    HOT SPRINGS VILLAGE, AR 719094093

    Phone: (501) 226-3220

    Type: Location

  • 212 MOUNTAIN VIEW RD

    GLENWOOD, AR 719439183

    Phone: (870) 828-1022

    Type: Mailing

  • 2200 S BOWMAN RD

    LITTLE ROCK, AR 722114136

    Phone: (870) 828-1022

    Type: Location

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: 2022-12-09

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
I20221209002060INurse PractitionerARTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes980162$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes13860$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5138$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3228$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 71909)

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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: 0345305876View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerLA
Nurse PractitionerLA
Nurse PractitionerAR
-AR
Nurse PractitionerLA

Reviews

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Frequently asked questions

Can I cross-check CRYSTAL NICOLE CHANCELLOR (APRN) using NPI 1013515857?
NPI 1013515857 belongs to CRYSTAL NICOLE CHANCELLOR (APRN); compare other details if you need extra assurance.
Is CRYSTAL NICOLE CHANCELLOR (APRN) shown as active in public data?
Registry records indicate CRYSTAL NICOLE CHANCELLOR (APRN) maintains an active NPI.
How would a patient describe CRYSTAL NICOLE CHANCELLOR (APRN)'s focus?
For CRYSTAL NICOLE CHANCELLOR (APRN), the primary taxonomy reads as Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Arkansas is CRYSTAL NICOLE CHANCELLOR (APRN) registered?
Use Hot Springs Village, Arkansas as the headline location for CRYSTAL NICOLE CHANCELLOR (APRN) here.
Does CRYSTAL NICOLE CHANCELLOR (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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