KRYSTAL KAY LAVINE NPI 1821586207

NPI Information

  • NPI: 1821586207
  • Provider Name: KRYSTAL KAY LAVINE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 114 N WASHINGTON ST
    BOURBON, IN
    ZIP 46504
  • Phone: (574) 335-7850

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NPI Details

Krystal Kay Lavine is a family nurse practitioner in Bourbon, IN with 8 years of experience. Krystal Kay Lavine NPI is 1821586207. 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:

114 N WASHINGTON ST
BOURBON, IN
ZIP 46504-623
Phone: (574) 335-7850
Fax: (574) 335-0755

The NPI 1821586207 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Automated urinalysis test (HCPCS:81003)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)

The enumeration date for this NPI number is 5/1/2018 and was last updated on 10/3/2024.

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
1363LF0000XNurse PractitionerFamily71008330AINDIANAYes

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
1300020124MEDICAIDINDIANA
21102236362OTHERINDIANAANTHEM

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: 3/30/2025

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