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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: August 09, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost50.81

Other Providers at the Same Location NPPES 13

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

ANAISIS DIAZ APRN
Nurse Practitioner (Family)
5500 PINEBROOK RD STE 202
NORTH VENICE, FL 34275
Sarasota County (941) 408-0500
MADELYN ROSE DUTY APRN
Nurse Practitioner (Family)
5500 PINEBROOK RD STE 202
NORTH VENICE, FL 34275
Sarasota County (941) 408-0500
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Internal Medicine (Hematology & Oncology)
5500 PINEBROOK RD STE 202
NORTH VENICE, FL 34275
Sarasota County (941) 408-0500
SARAH DAILEY
Nurse Practitioner (Family)
5500 PINEBROOK RD STE 202
NORTH VENICE, FL 34275
Sarasota County (941) 408-0500
KRISTEN MICHELLE GONTER-AUBIN D.O.
Internal Medicine (Medical Oncology)
5500 PINEBROOK RD STE 202
NORTH VENICE, FL 34275
Sarasota County (941) 408-0500
LALIT ANEJA MD
Internal Medicine (Medical Oncology)
5500 PINEBROOK RD STE 202
NORTH VENICE, FL 34275
Sarasota County (941) 408-0500
DENISE TRACY DEEMER APRN
Nurse Practitioner (Family)
5500 PINEBROOK RD STE 202
NORTH VENICE, FL 34275
Sarasota County (941) 408-0500
DR. ANDRES O SORIANO M.D.
Internal Medicine (Medical Oncology)
5500 PINEBROOK RD STE 202
NORTH VENICE, FL 34275
Sarasota County (941) 408-0500

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 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.

Where is Crystal Pawula located?

Crystal Pawula practices at 5500 Pinebrook Rd Ste 202, North Venice, FL 34275. The listed phone number is (941) 408-0500.

What is Crystal Pawula's specialty?

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

Is Crystal Pawula enrolled in Medicare?

Yes. Crystal Pawula is registered in the Medicare PECOS enrollment system.

What insurance does Crystal Pawula accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Crystal Pawula as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 28 days 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.