CRYSTAL NICOLE YOUNG APRN
NPI 1164280004
Nurse Practitioner - Family in New Smyrna Beach, FL
About Crystal Nicole Young Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL NICOLE YOUNG APRN (NPI 1164280004) is an individual family provider in New Smyrna Beach, Florida, licensed in Florida (APRN11031337) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Deland, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Crystal Nicole Young Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Crystal Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Daytona Beach, FL 32114
- Reassigned Medicare billing, Florida enrollment
- 786 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Deland
Acute Care Hospitals · Deland, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32168 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Young's NPI number?
The NPI number for Crystal Young is 1164280004. It was assigned to this individual provider in the NPPES registry on March 6, 2024. The provider is also known as Crystal Nicole Young Aprn.
Where is Crystal Young located?
Crystal Young practices at 417 Venetian Palms Blvd, New Smyrna Beach, FL 32168. The listed phone number is (513) 508-8465.
What is Crystal Young's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystal Young enrolled in Medicare?
Yes. Crystal Young is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Crystal Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Young reassigns Medicare benefits to Halifax Healthcare Systems Inc (Daytona Beach, FL). 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 Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Crystal Young affiliated with any hospitals?
According to CMS data, Crystal Young is affiliated with Adventhealth Deland.
When was this NPI record last updated?
The NPPES record for Crystal Young was last updated on March 6, 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.
# Crystal Nicole Young, APRN · NPI 1164280004
Family physician in New Smyrna Beach, Florida. Individual provider, active in the CMS NPPES registry since March 6, 2024.
## Identity
- **NPI:** 1164280004 (Entity type: Individual)
- **Enumerated:** March 6, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11031337 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 417 VENETIAN PALMS BLVD, New Smyrna Beach, FL 32168-6467
- **Phone:** (513) 508-8465
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Halifax Healthcare Systems Inc (NPI 1245283530, Daytona Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164280004) · Data from the CMS NPPES public registry.