CRYSTINE L'HERAUX (NP-C) – Family Nurse Practitioner, NPI 1255838603
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,353 NURSE PRACTITIONER in CA
Provider Addresses for CRYSTINE L'HERAUX (NP-C)
1210 Central Blvd Ste 103
Brentwood, CA 945132360
Phone: (925) 338-0448
Type: Location
801 11th St
Lakeport, CA 954534100
Phone: (707) 995-4500
Type: Location
15230 Lakeshore Dr
Clearlake, CA 95422
Phone: (707) 995-4500
Fax: (707) 994-2401
Type: Location
15230, Lakeshore Drive, Clearlake Park, Clearlake, Lake County, California, 95422, United States
CLEARLAKE, CA 95422
Phone: (707) 995-4500
Fax: (707) 994-2401
Type: Location
7703 VERNA WAY
LUCERNE, CA 954588593
Phone: (925) 338-0448
Fax: (840) 400-1020
Type: Mailing
3249 MT DIABLO CT STE 206
LAFAYETTE, CA 945494049
Phone: (925) 338-0448
Fax: (840) 400-1020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Lilly USA, LLC ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $30 |
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: 2019-08-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190816003144 | I | Nurse Practitioner | CA | TBD |
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.
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 94513)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Nurse Practitioner | CA | |
| Diagnostic Radiology | CA | |
| Clinical Social Worker | CA | |
| Diagnostic Radiology | CA | |
| N E U R O L O G Y | CT | |
| Clinical Psychologist | WA | |
| General Surgery | CA | |
| Nurse Practitioner | CA | |
| O P H T H A L M O L O G Y | CA |
Reviews
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