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Active NPI 1639759764 Individual Practitioner Female Practitioner

Chrystal Shirley , APRN

Nurse Practitioner • Leesburg, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Chrystal Shirley, APRN is a certified Nurse Practitioner practicing in Leesburg, FL. With approximately 6 years of clinical experience since completing medical education in 2020, Chrystal Shirley delivers high-quality medical care to the local community at 215 N 3RD ST.

Chrystal Shirley is affiliated with Lifestream Behavioral Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

215 N 3rd St

Leesburg, FL 347485105

Telephone 3523157900
Associated Practice Facility / Clinic
🏢 Genoa Healthcare Llc Facility NPI 1487959078

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Leesburg, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
32 Specialists

Practicing in Leesburg, FL (8990 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shirley (6 Years) 6 Yrs
Leesburg Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
19 14 $125.00 $75.68

Medical Specialties & State Licenses

CMS Verified: 2024-10-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL 11012141

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Lifestream Behavioral Center Inc

215 N 3rd St, Leesburg, FL 347485105

Phone: 3523157900

Secondary Practice Locations

1169 Baltic Ln

Winter Springs, FL 327085161

Phone: 9176989121

201 E Magnolia Ave

Eustis, FL 327263583

Phone: 3523571550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1013232446

Doctor of Psychology (Psy.D.)

NPI 1043966575
Natasha Kerrick , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053277947

Psychiatric-Mental Health Nurse Practitioner

Dr. Richard Wallace , DO

Psychiatry & Neurology - Psychiatry

NPI 1457442477

Doctor of Osteopathic Medicine (D.O.)

NPI 1518256940

Licensed Clinical Social Worker

Cindy Edwards , LMHC

Counselor - Mental Health

NPI 1518264316

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2021

Registered at 215 N 3RD ST, LEESBURG, FL 347485105 (Tel: 3523157900)

📍
Updated Business Mailing Address May 04, 2021

Registered at 1169 BALTIC LN, WINTER SPRINGS, FL 327085161 (Tel: 9176989121)

👤
Provider Name / Credentials Updated May 04, 2021

Recorded as CHRYSTAL SHIRLEY, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2021

Nurse Practitioner (License #11012141 in FL)

🟢
Initial NPI Registration & Enumeration April 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639759764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2021
Last Update: October 30, 2024
Sole Proprietor: Yes

Mailing Address

1169 Baltic Ln

Winter Springs, FL 327085161

Phone: 9176989121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.