MRS. KRYSTAL MARIE DISANTIS NP-C
NPI 1033693288
Nurse Practitioner in Daytona Beach, FL
About Mrs. Krystal Marie Disantis Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRYSTAL MARIE DISANTIS NP-C (NPI 1033693288) is an individual nurse practitioner in Daytona Beach, Florida, licensed in Ohio (APRN.CNP.0233204) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Krystal Marie Disantis Np-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.
Medicare Billing Reassignments
2Medicare enrollment records show Krystal Disantis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Orange, FL 32127
- Reassigned Medicare billing, Florida enrollment
- 28 clinicians in this Medicare group
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 124 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTONA BEACH, FL 32114
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 Krystal Disantis's NPI number?
The NPI number for Krystal Disantis is 1033693288. It was assigned to this individual provider in the NPPES registry on September 23, 2018.
Where is Krystal Disantis located?
Krystal Disantis practices at 731 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (786) 738-9144.
What is Krystal Disantis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Krystal Disantis enrolled in Medicare?
Yes. Krystal Disantis 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 Krystal Disantis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Disantis reassigns Medicare benefits to 2 organizations: D.H. Medical, LLC (Port Orange, FL) and Cardiac Vision LLC (Jacksonville, FL). 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 Krystal Disantis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Krystal Disantis was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mrs. Krystal Marie Disantis, NP-C · NPI 1033693288
Nurse Practitioner physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since September 23, 2018.
## Identity
- **NPI:** 1033693288 (Entity type: Individual)
- **Enumerated:** September 23, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN.CNP.0233204 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 731 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114-1603
- **Phone:** (786) 738-9144 · **Fax:** (877) 245-1597
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): D.H. Medical, LLC (NPI 1477855815, Port Orange, FL); Cardiac Vision LLC (NPI 1144651373, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1033693288) · Data from the CMS NPPES public registry.