CRYSTAL POUNGSANGCHAUN FNP
NPI 1043859424
Nurse Practitioner - Family in San Antonio, TX

Q: What is Crystal Poungsangchaun's NPI number?

The NPI number for Crystal Poungsangchaun is 1043859424. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Q: What is Crystal Poungsangchaun's specialty?

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

Active since January 02, 2020PECOS EnrolledAccepts Medicare Assignment

86.29/100

CMS Quality Rating

7407 BROADWAY, SAN ANTONIO, TX 78209(281) 783-8162 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2026, Apr 27, 2026, Apr 16, 2026 and 5 more (8 updates tracked since 2020).

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About Crystal Poungsangchaun Fnp NPPES

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

CRYSTAL POUNGSANGCHAUN FNP (NPI 1043859424) is an individual family provider in San Antonio, Texas, licensed in Texas (AP143236) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043859424

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCRYSTAL POUNGSANGCHAUNCredential: FNP

Location Address7407 BROADWAYSan Antonio, TX 78209-3221

Mailing Address5718 Westheimer Rd Ste 1800Houston, TX 77057-5773 · Fax (281) 895-3083

Phone(281) 783-8162

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 2, 2020

Last NPPES UpdateMay 25, 20268 updates tracked since enumeration

NPPES CertifiedMay 25, 2026

✔ NPI 1043859424 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 TX · AP143236

7407 BROADWAY, San Antonio, TX 78209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, WellPoint.Insurance ›

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 Poungsangchaun Fnp 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 ID7113358987

PECOS Enrollment IDI20200511002830

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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services22 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

16 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78209 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

86.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.36

Improvement Activities

Cost

92.14

Other Providers at the Same Location NPPES 7

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

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