CRYSTAL M WHITE (APRN) – Nurse Practitioner, NPI 1417327545

CRYSTAL M WHITE (APRN) is a healthcare provider. based in Coffeyville, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 91105 (OK). The NPI Number for CRYSTAL M WHITE (APRN) is 1417327545

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL M WHITE (APRN)
NPI
1417327545
Phone
(620) 251-5400
Address
1505 W 4TH ST
Enumeration Date
1 October 2015
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182730192
Graduation Year
2015 (11 years ago)
PAC ID
1254641699
Group Practice PAC ID
5799698742
Professional Enrollment ID
I20190117000898
Address ID
OK740484403NO1020XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for CRYSTAL M WHITE (APRN)

  • 1505 W 4TH ST

    COFFEYVILLE, KS 673373307

    Phone: (620) 251-5400

    Fax: (620) 251-5412

    Type: Mailing

  • 1505 W 11TH ST STE C

    COFFEYVILLE, KS 673373614

    Phone: (620) 251-5411

    Fax: (620) 251-5412

    Type: Location

  • 1020 LENAPE DR

    NOWATA, OK 740484403

    Phone: (918) 273-0192

    Fax: (620) 251-5412

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-04-25 • Largest payer in this snapshot: PFIZER INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$19
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: 2019-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20151113002064INurse PractitionerOKTBD
I20190117000898INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes16275$0
99213Established patient office or other outpatient visit, 20-29 minutes3933$0
View full utilization report →

Insurance plans in this area (ZIP 67337)

Loading plans...

Provider's Procedures

CRYSTAL M WHITE (APRN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKS81002Urinalysis, manual test3130

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: 5799698742View full group profile

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.

Frequently asked questions

How do I look up CRYSTAL M WHITE (APRN) by NPI?
Use NPI 1417327545 when you need to reference CRYSTAL M WHITE (APRN) in forms, claims, or directories.
Is CRYSTAL M WHITE (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CRYSTAL M WHITE (APRN)?
The page reflects Nurse Practitioner for CRYSTAL M WHITE (APRN). Clinical services aligned with this taxonomy classification.
Where is CRYSTAL M WHITE (APRN)'s primary listing?
We display Coffeyville, Kansas because that is what the record indicates for CRYSTAL M WHITE (APRN).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

MARY BETH HARTLEY (APRN)

Nurse Practitioner
Coffeyville Regional Medical Center, 1400, West 4th Street, Coffeyville, Montgomery County, Kansas, 67337, United States
NPI: 1073510764

DANA E MORTON (ARNP)

Nurse Practitioner
302 SOUTHERN HILLS DR
NPI: 1053363200
1501, West 4th Street, Coffeyville, Montgomery County, Kansas, 67337, United States
NPI: 1184736563
PO BOX 1535
NPI: 1528120847

CHELSEA A VARGAS (APRN)

Nurse Practitioner
1400 W 4th St
NPI: 1790962843

STACEY L WEIL (APRN)

Nurse Practitioner
1318 W 11TH ST
NPI: 1144570672

JUDY ANN CARPENTER (FNP)

Nurse Practitioner
1400 W 4th St
NPI: 1700302304

ALLISON NICHOLE LITTLEFORD

Nurse Practitioner
1400 W 4TH ST
NPI: 1982229266