CRYSTAL STILLWELL NP NPI 1649649773

NPI Information

NPI: 1649649773
Provider Name: CRYSTAL STILLWELL, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: MERCY CLINIC SPRINGFIELD COMMUNITIES

PECOS Registration: Yes

Address:
2730 E SUNSHINE ST
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 883-0600
Get Directions

Crystal Stillwell, NP is a primary care nurse practitioner in Springfield, MO with 9 years of experience. Crystal Stillwell, NP NPI is 1649649773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2730 E SUNSHINE ST
SPRINGFIELD, MO
ZIP 65804-047
Phone: (417) 883-0600

The NPI 1649649773 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 12/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		2015027436	MISSOURI	No
2	363LP2300X	Nurse Practitioner	Primary Care	2015027436	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1649649773	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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