CRYSTAL GILLIGAN
NPI 1043695976
Nurse Practitioner - Acute Care in Dayton, OH
About Crystal Gilligan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL GILLIGAN (NPI 1043695976) is an individual acute care provider in Dayton, Ohio, licensed in Ohio (2015004617) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crystal Gilligan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Crystal Gilligan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dayton, OH 45409
- Reassigned Medicare billing, Ohio enrollment
- 812 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 45409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Gilligan's NPI number?
The NPI number for Crystal Gilligan is 1043695976. It was assigned to this individual provider in the NPPES registry on July 21, 2015.
Where is Crystal Gilligan located?
Crystal Gilligan practices at 30 E Apple St Suite 5254A, Dayton, OH 45409. The listed phone number is (937) 208-4200.
What is Crystal Gilligan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Crystal Gilligan enrolled in Medicare?
Yes. Crystal Gilligan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Crystal Gilligan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Gilligan reassigns Medicare benefits to Premier Health Specialists Inc (Dayton, OH). The 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 Gilligan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystal Gilligan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Crystal Gilligan 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 Gilligan was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Crystal Gilligan · NPI 1043695976
Acute Care physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since July 21, 2015.
## Identity
- **NPI:** 1043695976 (Entity type: Individual)
- **Enumerated:** July 21, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 2015004617 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 E APPLE ST, SUITE 5254A, Dayton, OH 45409-2939
- **Phone:** (937) 208-4200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Premier Health Specialists Inc (NPI 1043263643, Dayton, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2015
- **Other identifiers:** Medicare PIN H384080 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1043695976) · Data from the CMS NPPES public registry.