MRS. CRYSTAL DAWN LEIS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1942776596

MRS. CRYSTAL DAWN LEIS (PMHNP) is a healthcare provider. based in Marysville, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 78446 (KS). The NPI Number for MRS. CRYSTAL DAWN LEIS (PMHNP) is 1942776596

Main info

Female
7 Years Of Experience
Name
MRS. CRYSTAL DAWN LEIS (PMHNP)
NPI
1942776596
Phone
(785) 713-2395
Address
306 N 18TH ST
Enumeration Date
22 October 2018
Last Update Date
7 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7856196078
Graduation Year
2019 (7 years ago)
PAC ID
2860826781
Group Practice PAC ID
2961884143
Professional Enrollment ID
I20220203001410
Address ID
KS665081831MA107XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

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Provider Addresses for MRS. CRYSTAL DAWN LEIS (PMHNP)

  • 306, 18th Street, Marysville, Yuba County, California, 95901, United States

    MARYSVILLE, KS 665081670

    Phone: (785) 713-2395

    Type: Mailing

  • McMillins Retail Liquor and Wine Specialist, 930, Hayes Drive, Manhattan, Pottawatomie County, Kansas, 66502, United States

    MANHATTAN, KS 665025721

    Phone: (785) 370-3566

    Type: Location

  • 714A BROADWAY

    MARYSVILLE, KS 665081842

    Phone: (785) 619-6078

    Type: Mailing

  • 107 S 8TH ST

    MARYSVILLE, KS 66508

    Phone: (785) 619-6078

    Fax: (785) 619-6083

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: ABBVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$15
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: 2022-02-03

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
I20210430000766INurse PractitionerNETBD
I20220203001410INurse PractitionerKSTBD

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
99204New patient office or other outpatient visit, 45-59 minutes2727$0
99214Established patient office or other outpatient visit, 30-39 minutes2715$0
99213Established patient office or other outpatient visit, 20-29 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 66508)

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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: 2961884143View full group profile
NameSpecialtyState
Nurse PractitionerKS

Reviews

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Frequently asked questions

Where can patients find MRS. CRYSTAL DAWN LEIS (PMHNP)'s NPI?
You can confirm MRS. CRYSTAL DAWN LEIS (PMHNP) with NPI 1942776596; it appears in the national provider directory.
Is MRS. CRYSTAL DAWN LEIS (PMHNP) active in the national directory?
MRS. CRYSTAL DAWN LEIS (PMHNP)'s public NPI profile is in an active state.
What kind of provider is MRS. CRYSTAL DAWN LEIS (PMHNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for MRS. CRYSTAL DAWN LEIS (PMHNP). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. CRYSTAL DAWN LEIS (PMHNP)?
The snapshot lists Marysville, Kansas for MRS. CRYSTAL DAWN LEIS (PMHNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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