CRYSTAL BALL (FNP-C) – Family Nurse Practitioner, NPI 1053863688
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for CRYSTAL BALL (FNP-C)
155 GRANVILLE MEADOW DR
LEBANON, VA 242664340
Phone: (276) 791-7127
Type: Mailing
17285 VETERANS MEMORIAL HWY
DUNGANNON, VA 242453937
Phone: (276) 467-2201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $964.
Total Amount is formed as General ($964) + Research ($0) + Ownership ($0) = $964.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Abbott Laboratories ($390).
Total Amount
$964
General + Research + Ownership
Payments
56
Total payment records
General Amount
$964
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $390 |
| AstraZeneca Pharmaceuticals LP | $174 |
| Lilly USA, LLC | $97 |
| Novo Nordisk Inc | $71 |
| INOGEN, INC. | $40 |
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: 2017-01-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170124002994 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 28 | 22 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 18 | 16 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 15 | 14 | $0 |
| 81003 | Automated urinalysis test | 14 | 11 | $0 |
Insurance plans in this area (ZIP 24266)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | TN | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.