Crysta Devine, APRN is a medicare enrolled "Nurse Practitioner - Family" in Caneyville, Kentucky. She graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gim Pllc and her current practice location is
2207 Rabbit Flat Rd, Caneyville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 533-9110.
Crysta Devine is licensed to practice in Kentucky (license number 3017544) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457009169.
Provider's Profile
Full Name | Crysta Devine |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 2 Years |
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Location | 2207 Rabbit Flat Rd, Caneyville, Kentucky |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Crysta Devine graduated from nursing school in 2022
NPI Data:
- NPI Number: 1457009169
- Provider Enumeration Date: 03/11/2022
- Last Update Date: 11/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365838984
- Enrollment ID: I20220407002644
Medical Identifiers
Medical identifiers for Crysta Devine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457009169 | NPI | - | NPPES |
3017544 | Other | KY | APRN LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 3017544 (Kentucky) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Gim Pllc | 5294036521 | 15 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crysta Devine allows following entities to bill medicare on her behalf.
Entity Name | Gim Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326411026 PECOS PAC ID: 5294036521 Enrollment ID: O20151210001753 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crysta Devine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crysta Devine, APRN 2207 Rabbit Flat Rd, Caneyville, KY 42721-7700 Ph: (502) 533-9110 | Crysta Devine, APRN 2207 Rabbit Flat Rd, Caneyville, KY 42721-7700 Ph: (502) 533-9110 |
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