| Mrs Crystal Dawn Leis, PMHNP | |
|
714a Broadway, Marysville, KS 66508-1842 | |
| (785) 619-6720 | |
| (785) 619-6721 |
| Full Name | Mrs Crystal Dawn Leis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 714a Broadway, Marysville, Kansas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942776596 | NPI | - | NPPES |
| 30004782530001 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 78446 (Kansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 78446 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Friend Community Healthcare System | Friend, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunflower Medical Clinic Llc | 2961884143 | 2 |
| Warren Memorial Hospital | 0941303085 | 9 |
| Entity Name | Sunflower Medical Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467199091 PECOS PAC ID: 2961884143 Enrollment ID: O20220804001526 |
| Entity Name | Sunflower Mental Health & Wellness LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063378974 PECOS PAC ID: 1951884121 Enrollment ID: O20260316002405 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Crystal Dawn Leis, PMHNP 714a Broadway, Marysville, KS 66508-1842 Ph: (785) 619-6720 | Mrs Crystal Dawn Leis, PMHNP 714a Broadway, Marysville, KS 66508-1842 Ph: (785) 619-6720 |
Linda Marie Bott, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1902 May St, Marysville, KS 66508 Phone: 785-562-3942 Fax: 785-562-5149 |
Michele K Voelker, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1902 May St, Marysville, KS 66508 Phone: 785-562-3942 Fax: 785-562-2348 |
Rebecca Ann Heuer, A.P.R.N. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 708 N 18th St, Marysville, KS 66508 Phone: 785-562-2311 |
Ms. Andrea Blumer, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1902 May St, Marysville, KS 66508 Phone: 785-562-3942 Fax: 785-562-5149 |
Anne C Bruna, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1902 May St, Marysville, KS 66508 Phone: 785-562-3942 Fax: 785-562-5149 |
Dayna K Scheele, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 708 N 18th St, Marysville, KS 66508 Phone: 785-562-3942 Fax: 785-562-5149 |