CRYSTAL NICOLE PRUITT MD
NPI 1215357793
Obstetrics & Gynecology in Loma Linda, CA
About Crystal Nicole Pruitt Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL NICOLE PRUITT MD (NPI 1215357793) is an individual obstetrics & gynecology provider in Loma Linda, California, licensed in California (A143165) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Murrieta, and is a graduate of Mayo Medical School (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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 Pruitt Md 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 Reassignments
4Medicare enrollment records show Crystal Pruitt reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
San Bernardino, CA 92408
- Reassigned Medicare billing, California enrollment
- 455 clinicians in this Medicare group
Banning, CA 92220
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Obhg California PC
- 711 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Pruitt's NPI number?
The NPI number for Crystal Pruitt is 1215357793. It was assigned to this individual provider in the NPPES registry on April 23, 2014.
Where is Crystal Pruitt located?
Crystal Pruitt practices at 11370 Anderson St Ste 3900, Loma Linda, CA 92354. The listed phone number is (909) 558-2806.
What is Crystal Pruitt's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Crystal Pruitt enrolled in Medicare?
Yes. Crystal Pruitt 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 organizations bill Medicare for Crystal Pruitt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Pruitt reassigns Medicare benefits to 4 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA), Sac Health System (San Bernardino, CA), San Gorgonio Memorial Health Care District (Banning, CA) and Obhg California, P.C. (Greenville, SC). Each 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 Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Crystal Pruitt was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Crystal Nicole Pruitt, MD · NPI 1215357793
Obstetrics & Gynecology physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since April 23, 2014.
## Identity
- **NPI:** 1215357793 (Entity type: Individual)
- **Enumerated:** April 23, 2014
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A143165 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11370 ANDERSON ST STE 3900, Loma Linda, CA 92354-3450
- **Phone:** (909) 558-2806
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1235189275, Loma Linda, CA); Sac Health System (NPI 1013935915, San Bernardino, CA); San Gorgonio Memorial Health Care District (NPI 1194243642, Banning, CA); Obhg California, P.C. (NPI 1215258892, Greenville, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mayo Medical School, class of 2014
## Record status
- **NPPES last updated:** July 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215357793) · Data from the CMS NPPES public registry.