CRYSTAL L BRANHAM (APRN) – Family Nurse Practitioner, NPI 1417224239
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for CRYSTAL L BRANHAM (APRN)
495 Western Ave
Brighton, MA 021351007
Phone: (617) 783-0500
Fax: (617) 562-1398
Type: Location
5815 Broadway Ave
Great Bend, KS 675303123
Phone: (620) 792-2544
Type: Location
PO BOX 1810
PRESTONSBURG, KY 416535810
Phone: (606) 788-9259
Fax: (606) 788-9307
Type: Mailing
112 EAST STREET
ELKHORN CITY, KY 41522
Phone: (606) 788-9259
Fax: (606) 788-9307
Type: Location
174 W CEDAR DR
PIKEVILLE, KY 415012015
Phone: (606) 794-5206
Fax: (606) 754-5796
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 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: 2024-08-09 • Largest payer in this snapshot: Lilly USA, LLC ($70).
Total Amount
$169
General + Research + Ownership
Payments
8
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
2024-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $70 |
| ABBVIE INC. | $45 |
| Exact Sciences Corporation | $20 |
| PFIZER INC. | $18 |
| Novo Nordisk Inc | $17 |
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: 2023-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20120327000569 | I | Nurse Practitioner | KY | TBD |
| I20230324000562 | I | Nurse Practitioner | MA | TBD |
| I20231104000249 | I | Nurse Practitioner | KS | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 355 | 101 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
Insurance plans in this area (ZIP 02135)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KY | 83036 | Hemoglobin A1C level | 218 | 84 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | KS | |
| Mental Health Counselor | KS | |
| Marriage And Family Therapist | KS | |
| - | KS | |
| Mental Health Counselor | FL | |
| Marriage And Family Therapist | KS | |
| Mental Health Counselor | KS | |
| - | KS | |
| - | KS | |
| P S Y C H I A T R Y | KS |
Reviews
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