KRYSTAL RALL (NP-C) – Family Nurse Practitioner, NPI 1033790167

KRYSTAL RALL (NP-C) is a healthcare provider. based in Bardstown, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 174245 (MT). The NPI Number for KRYSTAL RALL (NP-C) is 1033790167

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL RALL (NP-C)
NPI
1033790167
Phone
(502) 337-7409
Address
110 W JOHN ROWAN BLVD
Enumeration Date
20 April 2021
Last Update Date
19 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022158422
Graduation Year
2014 (12 years ago)
PAC ID
6204228414
Group Practice PAC ID
0143525998
Professional Enrollment ID
I20220120002221
Address ID
KY401656002SH340XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:5State licenses:3Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for KRYSTAL RALL (NP-C)

  • 110 W JOHN ROWAN BLVD

    BARDSTOWN, KY 400042663

    Phone: (502) 337-7409

    Type: Mailing

  • 247 IRIS DR

    HARROGATE, TN 377523112

    Phone:

    Type: Mailing

  • 1596 TN-33

    NEW TAZWELL, TN 37825

    Phone: (972) 904-9661

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-03

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
I20220120002221INurse PractitionerTNTBD
I20250603003120INurse PractitionerKYTBD

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 40004)

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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: 0143525998View full group profile

Reviews

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Frequently asked questions

What identifier follows KRYSTAL RALL (NP-C) across health systems?
The NPI 1033790167 uniquely identifies KRYSTAL RALL (NP-C) in U.S. healthcare data.
Is KRYSTAL RALL (NP-C)'s NPI status active today?
Active status means KRYSTAL RALL (NP-C)'s NPI record is not deactivated in the public file.
What services align with KRYSTAL RALL (NP-C)'s listing?
KRYSTAL RALL (NP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KRYSTAL RALL (NP-C)?
KRYSTAL RALL (NP-C) is associated with Bardstown, Kentucky in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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