CHRYSTAL SHIRLEY (APRN) – Nurse Practitioner, NPI 1639759764
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for CHRYSTAL SHIRLEY (APRN)
1169 Baltic Ln
Winter Springs, FL 327085161
Phone: (917) 698-9121
Type: Location
201 E Magnolia Ave
Eustis, FL 327263583
Phone: (352) 357-1550
Type: Location
1169 BALTIC LN
WINTER SPRINGS, FL 327085161
Phone: (917) 698-9121
Type: Mailing
215 N 3RD ST
LEESBURG, FL 347485105
Phone: (352) 315-7900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 116 Open Payments records for all available years, with a total value of $2,759.
Total Amount is formed as General ($2,759) + Research ($0) + Ownership ($0) = $2,759.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($1,060).
Total Amount
$2,759
General + Research + Ownership
Payments
116
Total payment records
General Amount
$2,759
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-06-16
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 |
|---|---|---|---|---|
| I20210616001246 | I | Nurse Practitioner | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 15 | $0 |
Insurance plans in this area (ZIP 32708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | KY | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| P S Y C H I A T R Y | FL |
Reviews
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