Crystal Lynne Walls (NPI# 1396222998, PAC ID# 9931459922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396222998 |
| PAC ID by PECOS | 9931459922 |
| Professional Enrollment ID | I20180912003682 |
| Full Name | Crystal Lynne Walls |
| Organization Legal Name | WESTERN MARYLAND HEALTH SYSTEM CORPORATION |
| Address |
10701 New Georges Creek Rd Frostburg MD 21532-1457 |
| Phone Number | 3016893229 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7113900655 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210027 | WESTERN MARYLAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10701 New Georges Creek Rd, Frostburg, MD 21532-1457 | 3016893229 | WESTERN MARYLAND HEALTH SYSTEM CORPORATION |
| 23789 Garrett Hwy, Mc Henry, MD 21541-1338 | 2409647000 | WESTERN MARYLAND HEALTH SYSTEM CORPORATION |
| 45 Hunt Club Dr, Ridgeley, WV 26753-7567 | 3047264501 | WESTERN MARYLAND HEALTH SYSTEM CORPORATION |
| Organization Legal Name | WESTERN MARYLAND HEALTH SYSTEM CORPORATION |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Steward | Nurse Practitioner | Western Maryland Health System Corporation | 10701 New Georges Creek Rd, Frostburg, MD 21532-1457 |
| Shannon Rae Sprenkle | Nurse Practitioner | Western Maryland Health System Corporation | 12502 Willowbrook Rd, Suite 280, Cumberland, MD 21502-6491 |
| Mary Ann Riley | Internal Medicine | Western Maryland Health System Corporation | 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502 |
| Nancy Lou White | Nurse Practitioner | Western Maryland Health System Corporation | 1313 National Hwy, Lavale, MD 21502-7618 |
| Wendi Shillingburg | Physician Assistant | Western Maryland Health System Corporation | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 |
| Bonnie Gail Cox | Physician Assistant | Western Maryland Health System Corporation | 45 Hunt Club Dr, Ridgeley, WV 26753-7567 |
| Beverly D. Moser | Nurse Practitioner | Western Maryland Health System Corporation | 12502 Willowbrook Rd, Suite 400, Cumberland, MD 21502-6491 |
| James Deren | General Practice | Western Maryland Health System Corporation | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 |
| Thomas Kidd Jr. | Physician Assistant | Western Maryland Health System Corporation | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 |
| Jennifer A Perrin | Registered Dietitian Or Nutrition Professional | Western Maryland Health System Corporation | 12502 Willowbrook Rd, Suite 300, Cumberland, MD 21502-6491 |
| Street Address |
10701 NEW GEORGES CREEK RD |
| City | FROSTBURG |
| State | MD |
| Zip | 21532-1457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Steward | Nurse Practitioner | Western Maryland Health System Corporation | 10701 New Georges Creek Rd, Frostburg, MD 21532-1457 |
| Amit S Kalaria | Emergency Medicine | Western Maryland Health System Corporation | 10701 New Georges Creek Rd, Frostburg, MD 21532-1457 |
| Rondal Zapf | Nurse Practitioner | Western Maryland Health System Corporation | 10701 New Georges Creek Rd, Frostburg, MD 21532-1457 |
| Rory Price | Physician Assistant | Western Maryland Health System Corporation | 10701 New Georges Creek Rd, Frostburg, MD 21532-1457 |
| Michael G Cetta | Emergency Medicine | Western Maryland Health System Corporation | 10701 New Georges Creek Rd, Frostburg, MD 21532-1457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredythe A Barrick | Registered Dietitian Or Nutrition Professional | Western Maryland Health System Corporation | Rr, Frostburg, MD 21532 |
| Wesley V Kroll | Chiropractic | 1 E Main St, Frostburg, MD 21532-1331 | |
| Jesus H Tan | Internal Medicine | 4 S Broadway, Frostburg, MD 21532-1708 | |
| Christie Marie Livengood | Nurse Practitioner | Novus Pain Management LLC | 1 Kaylor Cir, Frostburg, MD 21532-2009 |
| City | FROSTBURG |
| Zip Code | 21532 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FROSTBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Crystal Lynne Walls.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.