Crystal Nicole Chancellor, APRN in Little Rock, AR

Crystal Nicole Chancellor, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Little Rock, Arkansas. Her current practice location is 2200 S Bowman Rd, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 828-1022.

Crystal Nicole Chancellor is licensed to practice in Arkansas (license number 212540) 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 1013515857.

Contact Information

	Crystal Nicole Chancellor, APRN
	2200 S Bowman Rd, Little Rock, AR 72211-4136
	(870) 828-1022
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal Nicole Chancellor
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2200 S Bowman Rd, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013515857
Provider Enumeration Date: 10/14/2020
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 1254700446
Enrollment ID: I20221209002060

Medical Identifiers

Medical identifiers for Crystal Nicole Chancellor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013515857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	212540 (Arkansas)	Primary

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 Nicole Chancellor allows following entities to bill medicare on her behalf.

Entity Name	Quality Healthcare Resources Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205081437 PECOS PAC ID: 0345305876 Enrollment ID: O20190201000198

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 Nicole Chancellor 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 Nicole Chancellor, APRN 212 Mountain View Rd, Glenwood, AR 71943-9183 Ph: (870) 828-1022	Crystal Nicole Chancellor, APRN 2200 S Bowman Rd, Little Rock, AR 72211-4136 Ph: (870) 828-1022

Reviews and Comments

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Elizabeth Fiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10025 W Markham St Ste 210, Little Rock, AR 72205 Phone: 501-663-5473 Fax: 501-801-1816

Crystal Nicole Chancellor, APRN - Medicare Nurse Practitioner in Little Rock, AR