DR. CRYSTAL MILLER PROUD M.D.
NPI 1013159177
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Norfolk, VA

Q: What is Crystal Proud's NPI number?

The NPI number for Crystal Proud is 1013159177. It was assigned to this individual provider in the NPPES registry on April 3, 2009.

Q: What is Crystal Proud's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Proud was last updated on October 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2009PECOS EnrolledAccepts Medicare Assignment

850 SOUTHAMPTON AVE, NORFOLK, VA 23510(757) 668-9920(757) 668-9930 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Crystal Miller Proud M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRYSTAL MILLER PROUD M.D. (NPI 1013159177) is an individual neurology with special qualifications in child neurology provider in Norfolk, Virginia, licensed in Virginia (0101258310) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2009).

NPPES Registry Identity

NPI1013159177

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameDR. CRYSTAL MILLER PROUDCredential: M.D.

Location Address850 SOUTHAMPTON AVENorfolk, VA 23510-1021

Mailing Address850 Southampton AveNorfolk, VA 23510-1021

Phone(757) 668-9920

Fax(757) 668-9930

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2009

Enumeration DateApril 3, 2009

Last NPPES UpdateOctober 19, 2015

✔ NPI 1013159177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

Licenses✔ Licensed in VA · 0101258310✔ Licensed in CA · A117087

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License 0101258310 (VA)

850 SOUTHAMPTON AVE, Norfolk, VA 23510

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Crystal Miller Proud M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103130828

PECOS Enrollment IDI20150807014908

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$923.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LETICIA ENGLISH DPT

Physical Therapist