CRYSTALLE M EVANS D.O.
NPI 1043560030
Emergency Medicine in Ada, OK

Q: What is Crystalle Evans's NPI number?

The NPI number for Crystalle Evans is 1043560030. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Q: What is Crystalle Evans's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystalle Evans was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 17, 2012PECOS EnrolledAccepts Medicare Assignment

1921 STONECIPHER DR, ADA, OK 74820(580) 421-4526 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Crystalle M Evans D.o. NPPES

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

CRYSTALLE M EVANS D.O. (NPI 1043560030) is an individual emergency medicine provider in Ada, Oklahoma, licensed in Oklahoma (5209) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Chickasaw Nation Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1043560030

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameCRYSTALLE M EVANSCredential: D.O.

Location Address1921 STONECIPHER DRAda, OK 74820-3439

Mailing Address1921 Stonecipher DrAda, OK 74820-3439

Phone(580) 421-4526

Sole ProprietorYes

Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2011

Enumeration DateSeptember 17, 2012

Last NPPES UpdateJanuary 24, 2024

NPPES CertifiedJanuary 24, 2024

✔ NPI 1043560030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OK · 5209

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1921 STONECIPHER DR, Ada, OK 74820

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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

Crystalle M Evans D.o. 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 ID5395997639

PECOS Enrollment IDI20140131001174

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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370180

Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

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