Crystal Dawn Phipps, FNP
Nurse Practitioner, Family in Mountain View, MO. Individual provider (NPI-1).
NPI number1003583147
StatusActive
Last updated in NPPESApr 21, 2022
Details
- NPI
- 1003583147
- Entity type
- Individual (NPI-1)
- Name
- Crystal Dawn Phipps
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2021
- Certification date
- Apr 8, 2022
- Last updated
- Apr 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2021028648 | MO | Yes |
Practice location
104 E Us Highway 60Mountain View, MO 65548-7381
Phone 417-934-2251
Mailing address
104 E Us Highway 60Mountain View, MO 65548-7381
Phone 417-934-2251
Other practice locations
149 Rogers Ave
Summerville, MO 65571
Summerville, MO 65571
Phone 417-932-4119
9138 O'Banion St
Birch Tree, MO 65438
Birch Tree, MO 65438
Phone 573-292-3214
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All 9 Family Nurse Practitioner providers in Mountain View · All 60 providers in Mountain View
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