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

Crystal Black

Individual provider Family Nurse Practitioner · NPI 1033906060

Crystal Black is a Nurse Practitioner in Stuart, Virginia. Qualified in 2025, 1 year ago. Practices with Patrick County Family Practice, PC, a 10-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025

Practice location Address checks out

18877 Jeb Stuart Hwy
Stuart, VA 24171-5223
Phone: (276) 694-4466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0001194346 (VA)

Record details

NPI number1033906060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address1132 Carter Mountain Rd, Stuart, VA 24171-3769

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Patrick County Family Practice,Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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