KRYSTAL DAWN LEACH (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1245965664

KRYSTAL DAWN LEACH (CRNP) is a healthcare provider. based in Warren, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP025861 (PA). The NPI Number for KRYSTAL DAWN LEACH (CRNP) is 1245965664

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL DAWN LEACH (CRNP)
NPI
1245965664
Phone
Not provided
Address
1003 PENNSYLVANIA AVE W
Enumeration Date
20 July 2022
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8142309111101
Graduation Year
2022 (4 years ago)
PAC ID
6406230275
Group Practice PAC ID
9739429994
Professional Enrollment ID
I20220928002320
Address ID
PA163651838WA1048XWXXX400

Contacts

Main Contact
erhoades@JourneyHealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

11,473 NURSE PRACTITIONER in PA

Provider Addresses for KRYSTAL DAWN LEACH (CRNP)

  • 1003 PENNSYLVANIA AVE W

    WARREN, PA 163651876

    Phone:

    Type: Mailing

  • 1003 Pennsylvania Ave W

    Warren, PA 163651876

    Phone: (814) 723-5545

    Type: Location

  • 1048 PENNSYLVANIA AVE W

    WARREN, PA 163651838

    Phone: (814) 230-9111

    Fax: (814) 313-1075

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $569.

Total Amount is formed as General ($569) + Research ($0) + Ownership ($0) = $569.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($102).

Total Amount

$569

General + Research + Ownership

Payments

30

Total payment records

General Amount

$569

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2022-09-28

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
I20220928002320INurse PractitionerPATBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes12878$0
99214Established patient office or other outpatient visit, 30-39 minutes5735$0
99213Established patient office or other outpatient visit, 20-29 minutes4032$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 16365)

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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: 9739429994View full group profile
NameSpecialtyState
-PA
Clinical Social WorkerPA
Clinical Social WorkerPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

What is KRYSTAL DAWN LEACH (CRNP)'s NPI number?
KRYSTAL DAWN LEACH (CRNP)'s NPI is 1245965664 — the number used across U.S. healthcare to identify this provider.
Is KRYSTAL DAWN LEACH (CRNP) still an active registrant?
KRYSTAL DAWN LEACH (CRNP) carries an active NPI according to the public dataset.
What kind of doctor is KRYSTAL DAWN LEACH (CRNP)?
KRYSTAL DAWN LEACH (CRNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is KRYSTAL DAWN LEACH (CRNP) located near Warren?
KRYSTAL DAWN LEACH (CRNP) currently maps to Warren, Pennsylvania in this extract.
Does KRYSTAL DAWN LEACH (CRNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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