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NICOLE DANA CRYSTAL
NPI 1265912265
Physician Assistant in New York, NY

Active since August 19, 2018PECOS Enrolled
91.25/100
CMS Quality Rating
100 E 77TH ST, NEW YORK, NY 10075(212) 434-2000 Get Directions Write a Review

NPPES record last updated: August 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Dana Crystal NPPES

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

NICOLE DANA CRYSTAL (NPI 1265912265) is an individual physician assistant in New York, New York and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265912265
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE DANA CRYSTAL
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address66 Oakdale LnRoslyn Heights, NY 11577-1535 · (516) 524-8872
Phone(212) 434-2000
Sole ProprietorYes
Enumeration DateAugust 19, 2018
✔ NPI 1265912265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
100 E 77TH ST, New York, NY 10075
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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)

Nicole Dana Crystal 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier23 claims23 services$10.72 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$7.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. CATHERINE WILLIAMS HALL NURSE PRACTITIONER
Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
MS. PUNAM SHERPA PA
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
New York County (646) 752-1480
MARIA PUTILINA
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2150
LINDA MANGERA
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
JUSTIN WAN
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-4763
AMANDA JEAN BATTISTA PA
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
SAGAR MULAY
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
New York County (731) 676-2644
REBECCA SAUNDERS AGACNP
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-6500

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 Nicole Crystal's NPI number?

The NPI number for Nicole Crystal is 1265912265. It was assigned to this individual provider in the NPPES registry on August 19, 2018.

Where is Nicole Crystal located?

Nicole Crystal practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2000.

What is Nicole Crystal's specialty?

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

Is Nicole Crystal enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Crystal was last updated on August 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.