CRYSTAL PAWULA APRN
NPI 1184092546
Nurse Practitioner - Gerontology in North Venice, FL

Q: What is Crystal Pawula's NPI number?

The NPI number for Crystal Pawula is 1184092546. It was assigned to this individual provider in the NPPES registry on September 2, 2015.

Q: What is Crystal Pawula's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Pawula was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 02, 2015PECOS Enrolled

78.8/100

CMS Quality Rating

5500 PINEBROOK RD STE 202, NORTH VENICE, FL 34275(941) 408-0500(941) 496-8558 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2026, Feb 4, 2026, Apr 8, 2025 and 2 more (5 updates tracked since 2019).

On this page

About Crystal Pawula Aprn NPPES

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

CRYSTAL PAWULA APRN (NPI 1184092546) is an individual gerontology provider in North Venice, Florida, licensed in Florida (APRN9440414) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184092546

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameCRYSTAL PAWULACredential: APRN

Location Address5500 PINEBROOK RD STE 202North Venice, FL 34275-3678

Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200

Phone(941) 408-0500

Fax(941) 496-8558

Sole ProprietorNo

Enumeration DateSeptember 2, 2015

Last NPPES UpdateJuly 16, 20265 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1184092546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN9440414

5500 PINEBROOK RD STE 202, North Venice, FL 34275

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Pawula Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Crystal Pawula reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smh Physician Services Inc

15 mi

Internal Medicine

1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
956 clinicians in this Medicare group

NPI 1346295292 (941) 917-8720

Florida Cancer Specialists & Research Institute, LLC

47 mi

Medical Oncology

1708 CAPE CORAL PKWY W, #10
Cape Coral, FL 33914

Reassigned Medicare billing, Florida enrollment
880 clinicians in this Medicare group

NPI 1760590962 (239) 541-4633

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

150 services146 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

92 services91 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.

19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34275 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.

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.

78.8/100

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

Scored as part of a group practice

Quality

79.37

Promoting Interoperability

Improvement Activities

Cost

50.81

Other Providers at the Same Location NPPES 15

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

ANAISIS DIAZ APRN

Nurse Practitioner (Family)