Crystal Dawn Lane
PMHNP-BC | Nurse Practitioner - Psych/Mental Health | 3+ years Exp
12811 Kenwood Ln Ste 202, Fort Myers
Florida, 33907-5646
239-537-9646
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 |
| Phone: | 239-537-9646 |
| Fax: | 239-236-0866 |
Professional Identification Codes:
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 Sep, 2025 |
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
6252 S Philmar Dr,
Springfield, Missouri |
| Zip: | 65804-7904 |
| 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:
Patients can read all the reviews posted for Crystal Dawn Lane below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Crystal Dawn Lane. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.