CRYSTAL DAWN LANE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1811633845
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $340 |
| Corium, LLC | $28 |
| Axsome Therapeutics, Inc. | $25 |
| ITI, Inc. | $21 |
| Alkermes, Inc. | $19 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220524001275 | I | Nurse Practitioner | MO | TBD |
| I20220622000185 | I | Nurse Practitioner | AR | TBD |
| I20231207000310 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 90 | 72 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 86 | 65 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 27 | 25 | $0 |
Insurance plans in this area (ZIP 34112)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Clinical Psychologist | FL | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | FL | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | FL | |
| Clinical Social Worker | FL |
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