Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chrystal Shirley, APRN

Individual provider Nurse Practitioner · NPI 1639759764

Chrystal Shirley, APRN is a Nurse Practitioner in Leesburg, Florida. Qualified in 2020, 6 years ago. Practices with Lifestream Behavioral Center Inc, a 17-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

215 N 3rd St
Leesburg, FL 34748-5105
Phone: (352) 315-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 201 E Magnolia Ave, Eustis, FL 32726-3583 — (352) 357-1550
  • 1169 Baltic Ln, Winter Springs, FL 32708-5161 — (917) 698-9121

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11012141 (FL)

Record details

NPI number1639759764
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedApril 13, 2021
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address1169 Baltic Ln, Winter Springs, FL 32708-5161

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lifestream Behavioral Center Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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