MS. CRYSTAL DIANA THOMAS PA
NPI 1265824817
Physician Assistant - Medical in St Petersburg, FL

Q: What is Crystal Thomas's NPI number?

The NPI number for Crystal Thomas is 1265824817. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Q: What is Crystal Thomas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Thomas was last updated on August 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 19, 2015PECOS Enrolled

1839 CENTRAL AVE, ST PETERSBURG, FL 33713(727) 322-1054(727) 322-2725 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Crystal Diana Thomas Pa NPPES

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

MS. CRYSTAL DIANA THOMAS PA (NPI 1265824817) is an individual medical provider in St Petersburg, Florida, licensed in Florida (9108444) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265824817

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. CRYSTAL DIANA THOMASCredential: PA

Location Address1839 CENTRAL AVESt Petersburg, FL 33713-8900

Mailing Address1839 Central AveSt Petersburg, FL 33713-8900 · (727) 322-1054 · Fax (727) 322-2725

Phone(727) 322-1054

Fax(727) 322-2725

Sole ProprietorNo

Enumeration DateFebruary 19, 2015

Last NPPES UpdateAugust 7, 2015

✔ NPI 1265824817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · 9108444

1839 CENTRAL AVE, St Petersburg, FL 33713

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Crystal Diana Thomas Pa 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.