CRYSTAL DAWN LEBOEUF (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1033645726

CRYSTAL DAWN LEBOEUF (PMHNP-BC) is a healthcare provider. based in Newbury, Vermont. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 026.0122541 (VT). The NPI Number for CRYSTAL DAWN LEBOEUF (PMHNP-BC) is 1033645726

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL DAWN LEBOEUF (PMHNP-BC)
NPI
1033645726
Phone
(802) 222-3080
Address
4628 MAIN ST S
Enumeration Date
2 May 2017
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8022558788
Graduation Year
2021 (5 years ago)
PAC ID
2163818287
Group Practice PAC ID
8921548272
Professional Enrollment ID
I20220329002269
Address ID
VT058192646ST1097XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:9State licenses:3Digital endpointsOther names

721 NURSE PRACTITIONER in VT

Provider Addresses for CRYSTAL DAWN LEBOEUF (PMHNP-BC)

  • 4628 MAIN ST S

    NEWBURY, VT 050519712

    Phone: (802) 222-3080

    Type: Mailing

  • 33 Oak St

    Newport, VT 058555329

    Phone: (802) 255-8788

    Fax: (802) 200-0493

    Type: Location

  • 51, Rua da Eirinha, Rio de Mouro, Sintra, Lisbon, Grande Lisboa, Área Metropolitana de Lisboa, 2725-299, Portugal

    LISBON, NH 035850051

    Phone: (603) 991-3969

    Type: Mailing

  • 111, Water Street, Lisbon, Grafton County, New Hampshire, 03585, United States

    LISBON, NH 035856524

    Phone: (603) 991-3969

    Type: Location

  • PO BOX 65

    SAINT JOHNSBURY, VT 058190065

    Phone: (802) 255-8788

    Fax: (802) 200-0493

    Type: Mailing

  • 1097 MAIN ST

    SAINT JOHNSBURY, VT 058192646

    Phone: (802) 255-8788

    Fax: (802) 200-0493

    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: 2022-03-29

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
I20220329002269INurse PractitionerVTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6845$0
99215Established patient office or other outpatient visit, 40-54 minutes3228$0
View full utilization report →

Insurance plans in this area (ZIP 05051)

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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: 8921548272View full group profile
NameSpecialtyState
Nurse PractitionerVT

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Frequently asked questions

How is CRYSTAL DAWN LEBOEUF (PMHNP-BC) identified in CMS data?
CMS-hosted NPPES data lists CRYSTAL DAWN LEBOEUF (PMHNP-BC) with NPI 1033645726.
Does CMS list CRYSTAL DAWN LEBOEUF (PMHNP-BC) as active?
Yes — CRYSTAL DAWN LEBOEUF (PMHNP-BC) is active in the NPI listing used on this page.
What taxonomy line describes CRYSTAL DAWN LEBOEUF (PMHNP-BC)?
For research purposes, treat CRYSTAL DAWN LEBOEUF (PMHNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is CRYSTAL DAWN LEBOEUF (PMHNP-BC) based?
CRYSTAL DAWN LEBOEUF (PMHNP-BC) is tied to Newbury, Vermont in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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