CRYSTAL S CLARK
NPI 1427557321
Nurse Practitioner in Monticello, IL

NPI Status: Active since February 06, 2018

Contact Information

1000 MEDICAL CENTER DR
MONTICELLO, IL
ZIP 61856
Phone: (217) 762-6241
Fax: (217) 762-1702

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  • Individual
  • Female
  • Nurse Practitioner
  • Accepts Insurance
  • PECOS Enrolled

About CRYSTAL CLARK

This page provides the complete NPI Profile along with additional information for Crystal Clark, a provider established in Monticello, Illinois with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1427557321 assigned on February 2018. The practitioner's primary taxonomy code is 363L00000X with license number 209017069 (IL). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1427557321
Provider Name
CRYSTAL S CLARK
Gender
Female
Entity Type
Individual
Location Address
1000 MEDICAL CENTER DR MONTICELLO, IL 61856
Location Phone
(217) 762-6241
Location Fax
(217) 762-1702
Mailing Address
1000 MEDICAL CENTER DR MONTICELLO, IL 61856
Mailing Phone
(217) 762-6241
Mailing Fax
(217) 762-1702
Is Sole Proprietor?
No
Enumeration Date
02-06-2018
Last Update Date
03-26-2019
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A nurse practitioner (NP) like Crystal Clark is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
209017069
License State
IL
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Connect Bronze 2000 Indiv Med Deductible - HMO
  • Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - Rx Copay - HMO
  • Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Silver CMS Standard - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus (No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Crystal Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 61856 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.71
  • Minimum New Patient Price $54.8
  • Maximum New Patient Price $168.44
  • Average New Patient Copayment $21.42
  • Minimum New Patient Copayment $13.7
  • Maximum New Patient Copayment $42.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.25
  • Minimum Established Patient Price $17.16
  • Maximum Established Patient Price $136.56
  • Average Established Patient Copayment $24.31
  • Minimum Established Patient Copayment $4.29
  • Maximum Established Patient Copayment $34.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for CRYSTAL S CLARK

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427557321
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471051434
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 0 + 5 + 1 + 4 + 3 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1427557321 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740558428MRS. SARA E EADES WADE MS, RD, LDN
Individual
Dietitian, Registered1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-1904
1710250022 KARIN LYNN SYKES OTR/L
Individual
Occupational Therapist1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 454-1950
1194098343 MIRIAM L GARRETT MS,PT
Individual
Physical Therapist1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-1835
1811439375 SAMANTHA LENDI DPT
Individual
Physical Therapist1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-2115
1518338532MRS. KATHLEEN QUINN RD, LDN
Individual
Dietitian, Registered1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-1904
1922389089 ANNE KATHERINE MARSHALL PA
Individual
Physician Assistant1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-6241
1730179847KIRBY MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-2115
1730170655DR. NARAIN D MANDHAN M.D.
Individual
Internal Medicine1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-6241
1437140027KIRBY MEDICAL CENTER
Organization
Skilled Nursing Facility1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-2115
1386635373KIRBY MEDICAL CENTER
Organization
Family Medicine1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-2115
1811954878DR. BRIAN C YOCKS M.D.
Individual
Family Medicine1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-6241
1598869133KIRBY MEDICAL CENTER
Organization
Ambulance (Land Transport)1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-2115
1558527259KIRBY MEDICAL CENTER
Organization
Clinic/Center (Rural Health)1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-2115
1710343330 SANTIA FITZPATRICK
Individual
Nurse Practitioner1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-6241
1457896623 JENNIFER N MEINHART NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-6241
1295152205 EVELYN HUANG MD
Individual
Family Medicine1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-6241
1659713139 DAVID C LISS NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-6241
1437711140KIRBY MEDICAL CENTER
Organization
Pharmacy (Community/Retail Pharmacy)1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-1899
1275816928 BROOKE E NICOL LCSW
Individual
Social Worker (Clinical)1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-6241
1477163434 KRISTIN MARIE WOODBURY MS, RDN
Individual
Dietitian, Registered1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
(217) 762-1540

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427557321, enumerated in the NPI registry as an "individual" on February 06, 2018

The provider is located at 1000 Medical Center Dr Monticello, Il 61856 and the phone number is (217) 762-6241

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.71 with an average copayment of $21.42 for new patient appointments. Established patients should expect a typical charge of $97.25 and an average copayment of 24.31. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 06, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.