Crystal Dawn Lane is a Fort Myers, Florida based nurse practitioner with 3 years of experience in Psych/Mental Health. She completed her graduation in 2022. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Crystal Dawn Lane is 11029121 for Psych/Mental Health in Florida. Her current practice location is 12811 Kenwood Ln Ste 202, Fort Myers. Patients can reach her at 239-537-9646 or can fax her at 239-236-0866. Crystal Dawn Lane is PMHNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1811633845. Crystal Dawn Lane provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Crystal Dawn Lane speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Crystal Dawn Lane
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
PMHNP-BC
Experience:
3+ years
Medical School Attended:
Other
Graduation Year:
2022
Accepts Medicare Assignment:
Yes
Practice Address:
12811 Kenwood Ln Ste 202, Fort Myers, Florida, 33907-5646
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4789061102
Enrollment ID:
I20220524001275
NPI Number:
1811633845
NPI Enumeration Date:
11 May, 2022
NPI Last Update On:
26 Jun, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crystal Dawn Lane are as mentioned below.
License Number
Specialization
State
Status
11029121
Psych/Mental Health
Florida
Primary
220223
Psych/Mental Health
Arkansas
Secondary
2022017504
Psych/Mental Health
Missouri
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Crystal Dawn Lane is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Honour Brite Llc (3971864588)
20
Honour Brite Llc (3971864588)
20
Other Medical Identifiers:
Other legacy medical identifiers associated with Crystal Dawn Lane such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
120758800
Medicaid
Florida
420109430
Medicaid
Missouri
284170758
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Crystal Dawn Lane 969 S Pinewood Ln, Nixa, Missouri
Zip:
65714-7031
Phone Number:
417-350-8236
Patients can reach Crystal Dawn Lane at 12811 Kenwood Ln Ste 202, Fort Myers, Florida or can call to book an appointment on 239-537-9646.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.