Chrystal Shirley, APRN in Leesburg, FL - Medicare Nurse Practitioner

Chrystal Shirley, APRN is a medicare enrolled "Nurse Practitioner" in Leesburg, Florida. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifestream Behavioral Center Inc and her current practice location is 215 N 3rd St, Leesburg, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 315-7900.

Chrystal Shirley is licensed to practice in Florida (license number 11012141) 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 1639759764.

Contact Information

	Chrystal Shirley, APRN
	215 N 3rd St, Leesburg, FL 34748-5105
	(352) 315-7900
	Not Available

Map and Direction

Provider's Profile

Full Name	Chrystal Shirley
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	215 N 3rd St, Leesburg, Florida
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:

Chrystal Shirley graduated from nursing school in 2020

NPI Data:

NPI Number: 1639759764
Provider Enumeration Date: 04/13/2021
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7214337013
Enrollment ID: I20210616001246

Medical Identifiers

Medical identifiers for Chrystal Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639759764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11012141 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifestream Behavioral Center Inc	7012992720	14

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. Chrystal Shirley allows following entities to bill medicare on her behalf.

Entity Name	Lifestream Behavioral Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902802002 PECOS PAC ID: 7012992720 Enrollment ID: O20040618000512

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. Chrystal Shirley 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
Chrystal Shirley, APRN 1169 Baltic Ln, Winter Springs, FL 32708-5161 Ph: (917) 698-9121	Chrystal Shirley, APRN 215 N 3rd St, Leesburg, FL 34748-5105 Ph: (352) 315-7900

Reviews and Comments

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Debra A Guitz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 N Palmetto St, Leesburg, FL 34748 Phone: 352-323-3270
Debra C Gatlin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-360-6582
Scott D. Doll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762
Jaclyn Yvette Howe, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705

Chrystal Shirley, APRN - Medicare Nurse Practitioner in Leesburg, FL