KRYSTAL KAY LAVINE – Nurse Practitioner, NPI 1821586207
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Loading map...
Provider Addresses for KRYSTAL KAY LAVINE
707 E CEDAR ST STE 200
SOUTH BEND, IN 466172057
Phone: (574) 335-8707
Fax: (574) 335-0760
Type: Mailing
232, Main Street, Culver, Ottawa County, Kansas, 67484, United States
CULVER, IN 465111648
Phone: (574) 335-7780
Type: Location
5215 HOLY CROSS PKWY
MISHAWAKA, IN 465451469
Phone:
Type: Mailing
114 N WASHINGTON ST
BOURBON, IN 465041623
Phone: (574) 335-7850
Fax: (574) 335-0755
Type: Location
2855 MILLER DR STE 117
PLYMOUTH, IN 465638091
Phone: (574) 335-5240
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $169.
Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Lilly USA, LLC ($77).
Total Amount
$169
General + Research + Ownership
Payments
10
Total payment records
General Amount
$169
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $77 |
| Novo Nordisk Inc | $42 |
| Astellas Pharma US Inc | $21 |
| Abbott Laboratories | $18 |
| Exact Sciences Corporation | $13 |
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: 2018-10-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181026001342 | I | Nurse Practitioner | IN | 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 | 300 | 160 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 99 | 99 | $0 |
| 83036 | Hemoglobin a1c level | 70 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 53 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 62 | 40 | $0 |
Insurance plans in this area (ZIP 46617)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| N E U R O L O G Y | IL | |
| - | IN | |
| - | IN | |
| U R O L O G Y | FL | |
| Physician Assistant | MN | |
| Nurse Practitioner | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.