Crystal Peters, APRN - FNP is a medicare enrolled "Nurse Practitioner" physician in Olathe, Kansas. Her current practice location is
16538 W 159th Ter, Olathe, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 588-1227.
Crystal Peters is licensed to practice in Kansas (license number 53-84539) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114759081.
Physician's Profile
| Full Name | Crystal Peters |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 16538 W 159th Ter, Olathe, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114759081
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 09/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446782809
- Enrollment ID: I20241010002400
Medical Identifiers
Medical identifiers for Crystal Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114759081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | RN306903 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | 2025019608 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | 53-84539 (Kansas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN306903 (Georgia) | Secondary |
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. Crystal Peters allows following entities to bill medicare on her behalf.
| Entity Name | Coastal Community Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609298751
PECOS PAC ID: 0345463683
Enrollment ID: O20140731001948 |
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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. Crystal Peters 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 |
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Crystal Peters, APRN - FNP
110 Masters Way,
Kingsland, GA 31548-6790
Ph: (617) 412-7237 | Crystal Peters, APRN - FNP
16538 W 159th Ter,
Olathe, KS 66062-3924
Ph: (913) 588-1227 |
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