CRYSTAL BLACK
NPI 1033906060
Nurse Practitioner - Family in Stuart, VA

Active since April 23, 2025PECOS EnrolledAccepts Medicare Assignment
18877 JEB STUART HWY, STUART, VA 24171(276) 694-4466 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Black NPPES

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

CRYSTAL BLACK (NPI 1033906060) is an individual family provider in Stuart, Virginia, licensed in Virginia (0001194346) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1033906060
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL BLACK
Location Address18877 JEB STUART HWYStuart, VA 24171-5223
Mailing Address1132 Carter Mountain RdStuart, VA 24171-3769 · (276) 952-5514
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1033906060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0001194346
18877 JEB STUART HWY, Stuart, VA 24171

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

Crystal Black 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 ID9739657081
PECOS Enrollment IDI20260506000342
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 24171 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner
18877 JEB STUART HWY
STUART, VA 24171
Nurse Practitioner (Family)
18877 JEB STUART HWY
STUART, VA 24171
Chiropractor
18877 JEB STUART HWY
STUART, VA 24171
Nurse Practitioner (Family)
18877 JEB STUART HWY
STUART, VA 24171
Surgery
18877 JEB STUART HWY
STUART, VA 24171
Nurse Practitioner (Family)
18877 JEB STUART HWY
STUART, VA 24171
Family Medicine
18877 JEB STUART HWY
STUART, VA 24171
Nurse Practitioner (Family)
18877 JEB STUART HWY
STUART, VA 24171

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 Black's NPI number?

The NPI number for Crystal Black is 1033906060. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Crystal Black located?

Crystal Black practices at 18877 Jeb Stuart Hwy, Stuart, VA 24171. The listed phone number is (276) 694-4466.

What is Crystal Black's specialty?

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

Is Crystal Black enrolled in Medicare?

Yes. Crystal Black 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.

When was this NPI record last updated?

The NPPES record for Crystal Black was last updated on April 23, 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.