Crystal Shuandale Killian, NP in Gastonia, NC

Crystal Shuandale Killian, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Gastonia, North Carolina. She went to Duke University School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolina Caring Serious Illness Llc and her current practice location is 1875 Remount Rd, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 874-0600.

Crystal Shuandale Killian is licensed to practice in North Carolina (license number 5011122) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114493111.

Contact Information

	Crystal Shuandale Killian, NP
	1875 Remount Rd, Gastonia, NC 28054-7413
	(704) 874-0600
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal Shuandale Killian
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1875 Remount Rd, Gastonia, North Carolina
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crystal Shuandale Killian attended and graduated from Duke University School Of Medicine in 2018

NPI Data:

NPI Number: 1114493111
Provider Enumeration Date: 10/17/2018
Last Update Date: 02/10/2026

Medicare PECOS Information:

PECOS PAC ID: 5890032254
Enrollment ID: I20190903002577

Medical Identifiers

Medical identifiers for Crystal Shuandale Killian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114493111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5011122 (North Carolina)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	5011122 (North Carolina)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	5011122 (North Carolina)	Primary
363LG0600X	Nurse Practitioner - Gerontology	5011122 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caromont Regional Medical Center	Gastonia, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolina Caring Serious Illness Llc	1052846516	24

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 Shuandale Killian allows following entities to bill medicare on her behalf.

Entity Name	Carolina Caring Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801893151 PECOS PAC ID: 0941285712 Enrollment ID: O20040624000263

Entity Name	Nm Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20200109003016

Entity Name	Cs Pacs 3 Southeast Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240815002813

Entity Name	Carolina Caring Serious Illness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083449680 PECOS PAC ID: 1052846516 Enrollment ID: O20241121001542

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 Shuandale Killian 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
Crystal Shuandale Killian, NP 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 730-7003	Crystal Shuandale Killian, NP 1875 Remount Rd, Gastonia, NC 28054-7413 Ph: (704) 874-0600

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Sonya Nanette Belin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056 Phone: 047-874-9005
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Cox Rd Ste 201, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274

Crystal Shuandale Killian, NP - Medicare Nurse Practitioner in Gastonia, NC