CRYSTAL A CISZEK FNP
NPI 1124486089
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Crystal Ciszek's NPI number?

The NPI number for Crystal Ciszek is 1124486089. It was assigned to this individual provider in the NPPES registry on February 8, 2016. The provider is also known as Crystal A Ciszek.

Q: What is Crystal Ciszek'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 Ciszek was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 08, 2016PECOS EnrolledAccepts Medicare Assignment

10752 DEERWOOD PARK BLVD STE 100, JACKSONVILLE, FL 32256(478) 290-0677 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2022, Jan 19, 2022, Dec 18, 2019 and 2 more (5 updates tracked since 2016).

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About Crystal A Ciszek Fnp NPPES

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

CRYSTAL A CISZEK FNP (NPI 1124486089) is an individual family provider in Jacksonville, Florida, licensed in Florida (11020853) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124486089

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCRYSTAL A CISZEKCredential: FNP

Location Address10752 DEERWOOD PARK BLVD STE 100Jacksonville, FL 32256-4846

Mailing Address463688 State Road 200, Ste 1, #364Yulee, FL 32097-0304 · (478) 290-0677

Phone(478) 290-0677

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 8, 2016

Last NPPES UpdateSeptember 5, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2022

✔ NPI 1124486089 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

Licenses✔ Licensed in FL · 11020853✔ Licensed in GA · RN209456

10752 DEERWOOD PARK BLVD STE 100, Jacksonville, FL 32256

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Other Names 1

Former Name (1)Crystal A Ciszek

Secondary Practice Locations 3

Location 1104 Fairview Park DrDublin, GA 31021-2500 · Phone (478) 272-1366 · Fax (478) 277-1251

Location 21831 E 71st StTulsa, OK 74136-3922 · Phone (866) 949-0108

Location 3774 Highway 96Bonaire, GA 31005-3300 · Phone (478) 988-5711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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 A Ciszek 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 ID3375838832

PECOS Enrollment IDI20160823000856, I20221101002556

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 7

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

143 services27 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

40 services18 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

32 services29 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

26 services24 patients

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.

26 services25 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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