CRYSTAL LYNN CHASTAIN (CNP) – Gerontology Nurse Practitioner, NPI 1245612654

CRYSTAL LYNN CHASTAIN (CNP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. RN198451 (GA). The NPI Number for CRYSTAL LYNN CHASTAIN (CNP) is 1245612654

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL LYNN CHASTAIN (CNP)
NPI
1245612654
Phone
(770) 219-8420
Address
PO BOX 742616
Enumeration Date
22 June 2015
Last Update Date
31 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783124321
Graduation Year
2015 (11 years ago)
PAC ID
9133420987
Group Practice PAC ID
9133211139
Professional Enrollment ID
I20151221000625
Address ID
GA300467694LA1000XBLVD400

Contacts

Secure Messaging
crystal.dale.p2@direct.gmg.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

Provider Addresses for CRYSTAL LYNN CHASTAIN (CNP)

  • PO BOX 742616

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 743 SPRING ST NE

    GAINESVILLE, GA 305013715

    Phone: (770) 534-2020

    Fax: (770) 534-8025

    Type: Location

  • 1000 MEDICAL CENTER BLVD

    LAWRENCEVILLE, GA 300467694

    Phone: (678) 312-2418

    Fax: (678) 312-2434

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Kestra Medical Technology Services, Inc. ($15).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

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: 2015-12-21

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
I20151221000625INurse PractitionerGATBD

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
99291Critical care, first 30-74 minutes4830$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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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: 9133211139View full group profile

Reviews

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Frequently asked questions

Is CRYSTAL LYNN CHASTAIN (CNP) listed with a National Provider Identifier?
Yes — CRYSTAL LYNN CHASTAIN (CNP) has NPI 1245612654 on file in the registry.
Is CRYSTAL LYNN CHASTAIN (CNP) still an active registrant?
CRYSTAL LYNN CHASTAIN (CNP) carries an active NPI according to the public dataset.
How would a patient describe CRYSTAL LYNN CHASTAIN (CNP)'s focus?
For CRYSTAL LYNN CHASTAIN (CNP), the primary taxonomy reads as Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is CRYSTAL LYNN CHASTAIN (CNP) registered?
Use Atlanta, Georgia as the headline location for CRYSTAL LYNN CHASTAIN (CNP) here.
When was this NPI issued?
Enumeration for CRYSTAL LYNN CHASTAIN (CNP) is noted as June 22, 2015 where the registry provides it.

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