CRYSTAL DANIELLE DIXON FNP
NPI 1053117903
Nurse Practitioner - Family in Spartanburg, SC

Q: What is Crystal Dixon's NPI number?

The NPI number for Crystal Dixon is 1053117903. It was assigned to this individual provider in the NPPES registry on February 21, 2025.

Q: What is Crystal Dixon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Crystal Dixon was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 21, 2025PECOS EnrolledAccepts Medicare Assignment

279 E KENNEDY ST, SPARTANBURG, SC 29302(864) 583-0053(864) 583-0390 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2025, Feb 21, 2025 (2 updates tracked since 2025).

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About Crystal Danielle Dixon Fnp NPPES

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

CRYSTAL DANIELLE DIXON FNP (NPI 1053117903) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (30006) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053117903

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCRYSTAL DANIELLE DIXONCredential: FNP

Location Address279 E KENNEDY STSpartanburg, SC 29302-1912

Mailing Address279 E Kennedy StSpartanburg, SC 29302-1912 · (864) 583-0053 · Fax (864) 583-0390

Phone(864) 583-0053

Fax(864) 583-0390

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 21, 2025

Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2026

✔ NPI 1053117903 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 SC · 30006

279 E KENNEDY ST, Spartanburg, SC 29302

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Other Identifiers 1

MedicaidNN1118SC

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 Danielle Dixon 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 ID1254819386

PECOS Enrollment IDI20260130001671

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 29302 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 9

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

MR. JOSEPH GYABAAH PA-C

Physician Assistant