MRS. CRYSTAL ANN STORCK – Family Nurse Practitioner, NPI 1164088175

MRS. CRYSTAL ANN STORCK is a healthcare provider. based in Nashville, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209019349 (IL). The NPI Number for MRS. CRYSTAL ANN STORCK is 1164088175

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CRYSTAL ANN STORCK
NPI
1164088175
Phone
(618) 327-8236
Address
705 S GRAND ST
Enumeration Date
15 May 2019
Last Update Date
15 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183278236
Graduation Year
2019 (7 years ago)
PAC ID
8022342633
Group Practice PAC ID
4880599844
Professional Enrollment ID
I20190701001599
Address ID
IL622631534NA705XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MRS. CRYSTAL ANN STORCK

  • Washington County Hospital, 705, South Grand Street, Nashville, Washington County, Illinois, 62263, United States

    NASHVILLE, IL 622631534

    Phone: (618) 327-8236

    Fax: (618) 327-2218

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ABBVIE INC. ($84).

Total Amount

$105

General + Research + Ownership

Payments

6

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2019-07-01

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
I20190701001599INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62263)

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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: 4880599844View full group profile
NameSpecialtyState
Nurse PractitionerIN
R H E U M A T O L O G YIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerMO
-IL
Family Practice, Emergency Medicine, General SurgeryIL
-IL
Nurse PractitionerIL
Interventional Cardiology, Peripheral Vascular Disease, Interventional CardiologyTX

Reviews

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Frequently asked questions

What federal number belongs to MRS. CRYSTAL ANN STORCK?
The federal identifier for MRS. CRYSTAL ANN STORCK is NPI 1164088175.
Is MRS. CRYSTAL ANN STORCK's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. CRYSTAL ANN STORCK work in?
You can think of MRS. CRYSTAL ANN STORCK as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. CRYSTAL ANN STORCK practice in Illinois?
You will see Nashville, Illinois on file for MRS. CRYSTAL ANN STORCK alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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