CRYSTAL LISE SOUZA FNP-C
NPI 1467826693
Nurse Practitioner - Family in Woonsocket, RI

Active since November 27, 2015PECOS EnrolledAccepts Medicare Assignment
450 CLINTON ST, WOONSOCKET, RI 02895(401) 767-4100 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2025, Jun 11, 2024, Aug 23, 2022 and 2 more (5 updates tracked since 2015).

About Crystal Lise Souza Fnp-c NPPES

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

CRYSTAL LISE SOUZA FNP-C (NPI 1467826693) is an individual family provider in Woonsocket, Rhode Island, licensed in Rhode Island (APRN00778) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1467826693
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL LISE SOUZACredential: FNP-C
Location Address450 CLINTON STWoonsocket, RI 02895-3207
Mailing Address450 Clinton StWoonsocket, RI 02895-3207 · (401) 767-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 27, 2015
Last NPPES UpdateAugust 25, 20255 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
NPI 1467826693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in RI · APRN00778 Licensed in CT · 10730
450 CLINTON ST, Woonsocket, RI 02895

Other Names 1

Former Name (1)Crystal Lise Taveras

Secondary Practice Locations 6

Location 1300 Centerville Rd Ste 110Warwick, RI 02886 · Phone (401) 615-2299
Location 2270 Mohegan AveNew London, CT 06320-4125 · Phone (860) 439-2275
Location 3101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 453-7571
Location 4186 Providence StWest Warwick, RI 02893-2508 · Phone (401) 615-2800
Location 5360 Kingstown Rd Unit 101Narragansett, RI 02882-3258 · Phone (401) 789-6492
Location 61 River StWakefield, RI 02879-3214 · Phone (401) 783-0523

Other Identifiers 1

Medicaid1467826693RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Crystal Lise Souza Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668776766
PECOS Enrollment IDI20220923002792
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02895 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Social Worker (Clinical)
450 CLINTON ST
WOONSOCKET, RI 02895
Internal Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Family Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Family)
450 CLINTON ST
WOONSOCKET, RI 02895
Family Medicine
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Family)
450 CLINTON ST
WOONSOCKET, RI 02895
Nurse Practitioner (Psychiatric/Mental Health)
450 CLINTON ST
WOONSOCKET, RI 02895
Registered Nurse (Community Health)
450 CLINTON ST, THUNDERMIST HEALTH CENTER
WOONSOCKET, RI 02895

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 Souza's NPI number?

The NPI number for Crystal Souza is 1467826693. It was assigned to this individual provider in the NPPES registry on November 27, 2015. The provider is also known as Crystal Lise Taveras.

Where is Crystal Souza located?

Crystal Souza practices at 450 Clinton St, Woonsocket, RI 02895. The listed phone number is (401) 767-4100.

What is Crystal Souza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Crystal Souza enrolled in Medicare?

Yes. Crystal Souza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Crystal Souza affiliated with any hospitals?

According to CMS data, Crystal Souza is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Crystal Souza was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.