CRYSTAL KAY LIEBLANG (CNP) – Adult Health Nurse Practitioner, NPI 1154783470

CRYSTAL KAY LIEBLANG (CNP) is a healthcare provider. based in Port huron, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 4704239482 (MI). The NPI Number for CRYSTAL KAY LIEBLANG (CNP) is 1154783470

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL KAY LIEBLANG (CNP)
NPI
1154783470
Phone
(810) 985-9681
Address
1222 10TH AVE
Enumeration Date
25 March 2016
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8109859681
Graduation Year
2015 (11 years ago)
PAC ID
3577852839
Group Practice PAC ID
1658348776
Professional Enrollment ID
I20160510001982
Address ID
MI480603406PO1222XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for CRYSTAL KAY LIEBLANG (CNP)

  • 1222, 10th Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States

    PORT HURON, MI 480603406

    Phone: (810) 985-9681

    Fax: (810) 985-5310

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $925.

Total Amount is formed as General ($925) + Research ($0) + Ownership ($0) = $925.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($427).

Total Amount

$925

General + Research + Ownership

Payments

46

Total payment records

General Amount

$925

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

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: 2016-05-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160510001982INurse PractitionerMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6968$0
99214Established patient office or other outpatient visit, 30-39 minutes2423$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2020$0
View full utilization report →

Insurance plans in this area (ZIP 48060)

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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: 1658348776View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI
-MI
Cardiovascular Disease (Cardiology)MI
-MI

Reviews

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Frequently asked questions

What is the registry number for CRYSTAL KAY LIEBLANG (CNP)?
The registry entry for CRYSTAL KAY LIEBLANG (CNP) shows NPI 1154783470.
Is CRYSTAL KAY LIEBLANG (CNP)'s NPI status active today?
Active status means CRYSTAL KAY LIEBLANG (CNP)'s NPI record is not deactivated in the public file.
How should patients interpret CRYSTAL KAY LIEBLANG (CNP)'s specialty?
The extract shows Adult Health Nurse Practitioner for CRYSTAL KAY LIEBLANG (CNP). Clinical services aligned with this taxonomy classification.
Is CRYSTAL KAY LIEBLANG (CNP) tied to Port Huron, Michigan?
If you are local to Port Huron, Michigan, CRYSTAL KAY LIEBLANG (CNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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