Chrystal Middleton, APRN
NPI 1205505799ActiveIndividual· Nurse Practitioner, Family· Crossville, TN
Nurse Practitioner, Family (APRN) with Generations Health Association, Inc, practicing in Crossville, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $469,410 for 1,481 claims, against $8,610 paid for services in 2024. Neurocrine Biosciences, Inc. was the largest of 12 companies reporting payments in 2025, $3,110 in all, mostly food and beverage. Lists Cookeville Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1205505799 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Sep 8, 2021 |
| Last updated in NPPES | Apr 24, 2024 |
| Certified by provider | Apr 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 30447 | TN |
| Nurse Practitioner, Family | 363LF0000X | 209.023610 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 176 across 9 procedure codes |
| Paid by Medicare | $8,610 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,481 · 1,808 30-day fills |
|---|---|
| Patients | 163 |
| Total drug cost | $469,410 |
| Generic share | 78% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Generations Health Association, IncMorrison, TN · 27 clinicians
Hospital affiliation
- Cookeville Regional Medical CenterCookeville, TN
Industry payments (Open Payments)
- 2025$3,110 · 157 payments from 12 companies
- 2024$2,206 · 107 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Neurocrine Biosciences, Inc. | $488.66 | 19 |
| Vanda Pharmaceuticals Inc. | $451.07 | 16 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $435.24 | 25 |
| Otsuka America Pharmaceutical, Inc. | $378.43 | 19 |
| E.R. Squibb & Sons, L.L.C. | $338.39 | 19 |
What the 2025 payments were for
- Food and Beverage$3,110 · 157 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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