KRYSTAL MAE TIPPING – Certified Registered Nurse Anesthetist, NPI 1053551531

KRYSTAL MAE TIPPING is a healthcare provider. based in Gainesville, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 491376-4406 (UT). The NPI Number for KRYSTAL MAE TIPPING is 1053551531

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL MAE TIPPING
NPI
1053551531
Phone
(770) 532-7179
Address
743 Spring St NE
Enumeration Date
24 February 2009
Last Update Date
15 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014794470
Graduation Year
2008 (18 years ago)
PAC ID
8527112838
Group Practice PAC ID
4587976436
Professional Enrollment ID
I20140618002476
Address ID
UT844031866OG4364XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for KRYSTAL MAE TIPPING

  • 743 Spring St NE

    Gainesville, GA 305013715

    Phone: (770) 532-7179

    Fax: (770) 534-1312

    Type: Location

  • 6360 S 3000 E Ste 310

    Salt Lake City, UT 841216939

    Phone: (801) 944-3144

    Fax: (801) 944-3186

    Type: Location

  • South 1500 West, Ogden Commercial and Industrial Park, Ogden, Weber County, Utah, 84401, United States

    OGDEN, UT 844044762

    Phone: (801) 710-1161

    Fax: (801) 944-3180

    Type: Mailing

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: 2014-06-18

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
I20140618002476ICertified Registered Nurse Anesthetist (Crna)UTTBD

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
00142Anesthesia for lens surgery4746$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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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: 4587976436View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MT
-UT
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)AZ
-UT
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

How do payers reference KRYSTAL MAE TIPPING?
For KRYSTAL MAE TIPPING, use NPI 1053551531 as the unique 10-digit identifier.
Is KRYSTAL MAE TIPPING still an active registrant?
KRYSTAL MAE TIPPING carries an active NPI according to the public dataset.
What kind of doctor is KRYSTAL MAE TIPPING?
KRYSTAL MAE TIPPING is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is KRYSTAL MAE TIPPING associated with Gainesville?
Public fields place KRYSTAL MAE TIPPING around Gainesville, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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