CRYSTAL TOLER FNP-C
NPI 1013621499
Nurse Practitioner - Family in New Bern, NC

Active since January 10, 2023PECOS EnrolledAccepts Medicare Assignment
1040 MEDICAL PARK AVE, NEW BERN, NC 28562(252) 638-2273 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Sep 6, 2024, Jan 10, 2023 (3 updates tracked since 2023).

About Crystal Toler Fnp-c NPPES

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

CRYSTAL TOLER FNP-C (NPI 1013621499) is an individual family provider in New Bern, North Carolina, licensed in North Carolina (5020714) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013621499
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL TOLERCredential: FNP-C
Location Address1040 MEDICAL PARK AVENew Bern, NC 28562-5248
Mailing AddressPo Box 12248New Bern, NC 28561-2248 · (252) 672-9695 · Fax (252) 514-2745
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 10, 2023
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1013621499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5020714
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5020714 (NC)
1040 MEDICAL PARK AVE, New Bern, NC 28562

Secondary Practice Locations 2

Location 1600 Moye BlvdGreenville, NC 27834-4300 · Phone (252) 744-6478
Location 24007 Ml King Jr BlvdNew Bern, NC 28562-2243 · Phone (252) 772-9995 · Fax (252) 221-3939

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystal Toler Fnp-c 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 ID6002348471
PECOS Enrollment IDI20241010002812
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Crystal Toler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1040 MEDICAL PARK AVE
New Bern, NC 28562
  • Reassigned Medicare billing, North Carolina enrollment
  • 120 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
4301 M L KING JR BLVD
New Bern, NC 28562
  • Reassigned Medicare billing, North Carolina enrollment
  • 173 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Emergency Medicine
1040 MEDICAL PARK AVE
NEW BERN, NC 28562
Family Medicine
1040 MEDICAL PARK AVE
NEW BERN, NC 28562
Physician Assistant
1040 MEDICAL PARK AVE
NEW BERN, NC 28562
Family Medicine
1040 MEDICAL PARK AVE
NEW BERN, NC 28562
Physician Assistant
1040 MEDICAL PARK AVE
NEW BERN, NC 28562
Nurse Practitioner (Family)
1040 MEDICAL PARK AVE
NEW BERN, NC 28562
Nurse Practitioner
1040 MEDICAL PARK AVE
NEW BERN, NC 28562
Family Medicine
1040 MEDICAL PARK AVE
NEW BERN, NC 28562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Toler's NPI number?

The NPI number for Crystal Toler is 1013621499. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Crystal Toler located?

Crystal Toler practices at 1040 Medical Park Ave, New Bern, NC 28562. The listed phone number is (252) 638-2273.

What is Crystal Toler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Crystal Toler enrolled in Medicare?

Yes. Crystal Toler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Crystal Toler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Toler reassigns Medicare benefits to 2 organizations: Coastal Carolina Health Care PA (New Bern, NC) and Goshen Medical Center, Incorporated (New Bern, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Toler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Toler accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Crystal Toler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Toler was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.