CRYSTAL DAWN LANE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1811633845

CRYSTAL DAWN LANE (PMHNP-BC) is a healthcare provider. based in Naples, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 11029121 (FL). The NPI Number for CRYSTAL DAWN LANE (PMHNP-BC) is 1811633845

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL DAWN LANE (PMHNP-BC)
NPI
1811633845
Phone
(239) 537-9646
Address
2345 Stanford Ct Ste 602
Enumeration Date
11 May 2022
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2395379646
Graduation Year
2022 (4 years ago)
PAC ID
4789061102
Group Practice PAC ID
0446594451
Professional Enrollment ID
I20231207000310
Address ID
FL339075646FO12811LNXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:4State licenses:3Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for CRYSTAL DAWN LANE (PMHNP-BC)

  • 2345 Stanford Ct Ste 602

    Naples, FL 341124841

    Phone: (239) 537-9646

    Fax: (239) 236-0866

    Type: Location

  • 969 S PINEWOOD LN

    NIXA, MO 657147031

    Phone: (417) 350-8236

    Type: Mailing

  • 5548 N FARMER BRANCH RD

    OZARK, MO 657215315

    Phone: (417) 322-6622

    Type: Location

  • 6252 S PHILMAR DR

    SPRINGFIELD, MO 658047904

    Phone: (417) 350-8236

    Type: Mailing

  • 12811 KENWOOD LN STE 202

    FORT MYERS, FL 339075646

    Phone: (239) 537-9646

    Fax: (239) 236-0866

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $524.

Total Amount is formed as General ($524) + Research ($0) + Ownership ($0) = $524.

Last reported payment date: 2023-11-28 • Largest payer in this snapshot: ABBVIE INC. ($340).

Total Amount

$524

General + Research + Ownership

Payments

28

Total payment records

General Amount

$524

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-28

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: 2023-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20220524001275INurse PractitionerMOTBD
I20220622000185INurse PractitionerARTBD
I20231207000310INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9072$0
90833Psychotherapy with evaluation and management visit, 30 minutes8665$0
80305Testing for presence of drug, read by direct observation2725$0
View full utilization report →

Insurance plans in this area (ZIP 34112)

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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: 0446594451View full group profile
NameSpecialtyState
Mental Health CounselorFL
Nurse PractitionerFL
Clinical Social WorkerFL
Clinical PsychologistFL
Mental Health CounselorMN
Mental Health CounselorFL
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What identifier follows CRYSTAL DAWN LANE (PMHNP-BC) across health systems?
The NPI 1811633845 uniquely identifies CRYSTAL DAWN LANE (PMHNP-BC) in U.S. healthcare data.
Quick check: is CRYSTAL DAWN LANE (PMHNP-BC) active?
Public NPPES data shows CRYSTAL DAWN LANE (PMHNP-BC) with an active NPI status right now.
What does the directory say CRYSTAL DAWN LANE (PMHNP-BC) does?
Insurance directories may phrase it differently, but here CRYSTAL DAWN LANE (PMHNP-BC) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit CRYSTAL DAWN LANE (PMHNP-BC) in Naples, Florida?
For routing, start with Naples, Florida for CRYSTAL DAWN LANE (PMHNP-BC), then verify phone and hours locally.
Why is information missing for CRYSTAL DAWN LANE (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.