CRYSTAL GAIL BARCENAS NNP-BC
NPI 1356672034
Nurse Practitioner - Neonatal in Charlotte, NC

Active since January 20, 2010PECOS Enrolled
200 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 384-4000 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2025, Feb 5, 2025, May 29, 2023 (3 updates tracked since 2023).

About Crystal Gail Barcenas Nnp-bc NPPES

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

CRYSTAL GAIL BARCENAS NNP-BC (NPI 1356672034) is an individual neonatal provider in Charlotte, North Carolina, licensed in North Carolina (5012720) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356672034
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameCRYSTAL GAIL BARCENASCredential: NNP-BC
Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515
Mailing Address200 Hawthorne Ln Dept NicuCharlotte, NC 28204-2515 · (704) 384-4000
Sole ProprietorYes
Enumeration DateJanuary 20, 2010
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
NPI 1356672034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
Licenses Licensed in NC · 5012720 Licensed in GA · RN181995
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License RN181995 (GA)
200 HAWTHORNE LN, Charlotte, NC 28204

Accepted 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 Gail Barcenas Nnp-bc 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 28204 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Practitioner (Neonatal)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Practitioner (Critical Care Medicine)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Pharmacist (Pharmacotherapy)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Physician Assistant
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Pediatrics
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204

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 Barcenas's NPI number?

The NPI number for Crystal Barcenas is 1356672034. It was assigned to this individual provider in the NPPES registry on January 20, 2010.

Where is Crystal Barcenas located?

Crystal Barcenas practices at 200 Hawthorne Ln, Charlotte, NC 28204. The listed phone number is (704) 384-4000.

What is Crystal Barcenas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Crystal Barcenas enrolled in Medicare?

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

What insurance does Crystal Barcenas accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Crystal Barcenas 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 Barcenas was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.