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CRYSTAL VANN NP
NPI 1386331700
Nurse Practitioner - Psychiatric/Mental Health in Port Jefferson Station, NY

Active since April 18, 2023PECOS Enrolled
118 N COUNTRY RD, PORT JEFFERSON STATION, NY 11777(631) 751-3000 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crystal Vann Np NPPES

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

CRYSTAL VANN NP (NPI 1386331700) is an individual psychiatric/mental health provider in Port Jefferson Station, New York, licensed in New York (404900) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386331700
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCRYSTAL VANNCredential: NP
Location Address118 N COUNTRY RDPort Jefferson Station, NY 11777-2120
Mailing Address1 Research RdRidge, NY 11961-2701
Phone(631) 751-3000
Sole ProprietorNo
Enumeration DateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1386331700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404900
118 N COUNTRY RD, Port Jefferson Station, NY 11777
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Vann Np 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

2

Medicare enrollment records show Crystal Vann reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore Hematology Oncology Associates PC
1.7 mi
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
NPI 1396794574 (631) 751-3000
Sun River Health Inc
46 mi
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1740763275 (855) 681-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOROTHY MARY KOZLOWSKI NP
Nurse Practitioner (Obstetrics & Gynecology)
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-7171
AMY RENEE RICHTER MD
Obstetrics & Gynecology
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-7171
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
Radiology (Diagnostic Radiology)
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 751-3000
ANTHONY MARK GIAMMARINO MD
Obstetrics & Gynecology (Gynecology)
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-7171
LANCE EDWARDS MD
Obstetrics & Gynecology (Gynecology)
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-7171
JOHN GREGG PETRACO MD
Obstetrics & Gynecology
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 471-7171
DENNIS STEPHEN STRITTMATTER MD
Obstetrics & Gynecology
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-7171
DR. SARAH R KARALITZKY D.O
Obstetrics & Gynecology
118 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-7171

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 Vann's NPI number?

The NPI number for Crystal Vann is 1386331700. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Crystal Vann located?

Crystal Vann practices at 118 N Country Rd, Port Jefferson Station, NY 11777. The listed phone number is (631) 751-3000.

What is Crystal Vann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Crystal Vann enrolled in Medicare?

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

Which organizations bill Medicare for Crystal Vann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Vann reassigns Medicare benefits to 2 organizations: North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY) and Sun River Health Inc (Bronx, NY). 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 Vann'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 Vann was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.