KRYSTAL VELEZ
NPI 1316416894
Midwife in West Reading, PA

Active since November 14, 2018PECOS Enrolled
420 S 5TH AVE, WEST READING, PA 19611(484) 628-4075 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 15, 2019, Nov 14, 2018 (2 updates tracked since 2018).

About Krystal Velez NPPES

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

KRYSTAL VELEZ (NPI 1316416894) is an individual midwife in West Reading, Pennsylvania, licensed in Pennsylvania (NM010513) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316416894
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameKRYSTAL VELEZ
Location Address420 S 5TH AVEWest Reading, PA 19611-2143
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0799 · Fax (484) 334-7026
Sole ProprietorNo
Enumeration DateNovember 14, 2018
Last NPPES UpdateJanuary 15, 20192 updates tracked since enumeration
✔ NPI 1316416894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in PA · NM010513
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN628188 (PA)
420 S 5TH AVE, West Reading, PA 19611

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Velez 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

3

Medicare enrollment records show Krystal Velez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trauma Surgery
420 S 5TH AVE
West Reading, PA 19611
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
Family Medicine
1001 BALTIMORE PIKE STE 109
Springfield, PA 19064
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group
Family Medicine
3331 STREET RD STE 140
Bensalem, PA 19020
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 37 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.

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.

Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Pathology (Forensic Pathology)
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Surgery
420 S 5TH AVE
WEST READING, PA 19611
Nurse Practitioner (Family)
420 S 5TH AVE
READING, PA 19611
Emergency Medicine
420 S 5TH AVE
WEST READING, PA 19611

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 Krystal Velez's NPI number?

The NPI number for Krystal Velez is 1316416894. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is Krystal Velez located?

Krystal Velez practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-4075.

What is Krystal Velez's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Krystal Velez enrolled in Medicare?

Yes. Krystal Velez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Krystal Velez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Velez reassigns Medicare benefits to 3 organizations: Tower Health Medical Group (West Reading, PA), Trinity Health Mid-Atlantic Medical Group (Springfield, PA) and St Mary Medical Center (Bensalem, PA). 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 Krystal Velez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystal Velez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Krystal Velez 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 Krystal Velez was last updated on January 15, 2019. 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.