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CRYSTAL ANNE BURTIS PHYSICIAN ASSISTANT
NPI 1477067775
Physician Assistant in Logan, UT

Active since November 22, 2017PECOS Enrolled
1624 N 200 E STE 160, LOGAN, UT 84341(435) 750-5599(435) 750-0861 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Oct 20, 2023, Nov 22, 2017 (3 updates tracked since 2017).

About Crystal Anne Burtis Physician Assistant NPPES

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

CRYSTAL ANNE BURTIS PHYSICIAN ASSISTANT (NPI 1477067775) is an individual physician assistant in Logan, Utah, licensed in Utah (1054788-1206) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1477067775
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCRYSTAL ANNE BURTISCredential: PHYSICIAN ASSISTANT
Location Address1624 N 200 E STE 160Logan, UT 84341-3175
Mailing Address1624 N 200 E Ste 160Logan, UT 84341-3175 · (435) 750-5599 · Fax (435) 750-0861
Phone(435) 750-5599
Fax(435) 750-0861
Sole ProprietorYes
Enumeration DateNovember 22, 2017
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1477067775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 1054788-1206
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.
1624 N 200 E STE 160, Logan, UT 84341
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Secondary Practice Locations 3

Location 11624 N 200 E Ste 160Logan, UT 84341-3175 · Phone (435) 703-9647 · Fax (435) 703-6003
Location 26783 S Redwood Rd Ste 102West Jordan, UT 84084-5696 · Phone (435) 703-9647 · Fax (435) 703-6003
Location 36783 S Redwood Rd Ste 103West Jordan, UT 84084-5685 · Phone (435) 703-9647 · Fax (435) 703-6003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Providence Health Plan and more.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 Anne Burtis Physician Assistant 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 84341 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 3

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

MADISON KALEI CUTLER PA
Physician Assistant
1624 N 200 E STE 160
LOGAN, UT 84341
Cache County (435) 750-5599
ROBERT DUNCAN
Pediatrics
1624 N 200 E STE 160
LOGAN, UT 84341
Cache County (435) 750-5599
CANYON MEDICAL GROUP LLC
Pediatrics
1624 N 200 E STE 160
LOGAN, UT 84341
Cache County (435) 750-5599

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 Burtis's NPI number?

The NPI number for Crystal Burtis is 1477067775. It was assigned to this individual provider in the NPPES registry on November 22, 2017.

Where is Crystal Burtis located?

Crystal Burtis practices at 1624 N 200 E Ste 160, Logan, UT 84341. The listed phone number is (435) 750-5599.

What is Crystal Burtis's specialty?

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

Is Crystal Burtis enrolled in Medicare?

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

What insurance does Crystal Burtis accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Providence Health Plan, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Crystal Burtis 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 Burtis was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.