CRYSTAL NICHOLAS PA-C
NPI 1174980932
Physician Assistant in Dallas, TX

Q: What is Crystal Nicholas's NPI number?

The NPI number for Crystal Nicholas is 1174980932. It was assigned to this individual provider in the NPPES registry on January 25, 2016. The provider is also known as Crystal Zitterkopf.

Q: What is Crystal Nicholas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Nicholas was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 January 25, 2016PECOS EnrolledAccepts Medicare Assignment

90.13/100

CMS Quality Rating

6201 HARRY HINES BLVD, DALLAS, TX 75235(469) 852-5014 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Crystal Nicholas Pa-c NPPES

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

CRYSTAL NICHOLAS PA-C (NPI 1174980932) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA10407) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains a secondary practice location in Richardson.

NPPES Registry Identity

NPI1174980932

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCRYSTAL NICHOLASCredential: PA-C

Location Address6201 HARRY HINES BLVDDallas, TX 75235-5202

Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201 · (469) 852-5014

Phone(469) 852-5014

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 25, 2016

Last NPPES UpdateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1174980932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA10407

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6201 HARRY HINES BLVD, Dallas, TX 75235

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Other Names 1

Former Name (1)Crystal Zitterkopf

Secondary Practice Location 1

Location 14000 E Renner Rd Apt 1028Richardson, TX 75082-2732 · Phone (520) 248-2733

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 Nicholas Pa-c 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 ID9638478084

PECOS Enrollment IDI20160505002345

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ut Southwestern University Hospital - William P. Clements Jr.

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450044

Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

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.

90.13/100

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

Scored as part of a group practice

Quality

85.11

Promoting Interoperability

Improvement Activities

Cost

63.49

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.

SARA ALTAF LALANI MD

Hospitalist