CRYSTAL MARIE CARROLL
NPI 1497469985
Nurse Practitioner - Gerontology in Toms River, NJ
About Crystal Marie Carroll NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL MARIE CARROLL (NPI 1497469985) is an individual gerontology provider in Toms River, New Jersey, licensed in New Jersey (26NJ14911700) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Crystal Marie Carroll 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.
Medicare Billing Reassignments
2Medicare enrollment records show Crystal Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 757 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Community Medical Center
Acute Care Hospitals · Toms River, NJSouthern Ocean Medical Center
Acute Care Hospitals · Manahawkin, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
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 Carroll's NPI number?
The NPI number for Crystal Carroll is 1497469985. It was assigned to this individual provider in the NPPES registry on January 9, 2023.
Where is Crystal Carroll located?
Crystal Carroll practices at 780 Route 37 W Ste 310, Toms River, NJ 08755. The listed phone number is (732) 473-0158.
What is Crystal Carroll's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Crystal Carroll enrolled in Medicare?
Yes. Crystal Carroll 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.
Which organizations bill Medicare for Crystal Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Carroll reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Barnabas Health Medical Group, PC (West Orange, NJ). 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 Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystal Carroll accept?
Health plans from Oscar Health list Crystal Carroll 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.
Is Crystal Carroll affiliated with any hospitals?
According to CMS data, Crystal Carroll is affiliated with Community Medical Center and Southern Ocean Medical Center.
When was this NPI record last updated?
The NPPES record for Crystal Carroll was last updated on March 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Crystal Marie Carroll · NPI 1497469985
Gerontology physician in Toms River, New Jersey. Individual provider, active in the CMS NPPES registry since January 9, 2023.
## Identity
- **NPI:** 1497469985 (Entity type: Individual)
- **Enumerated:** January 9, 2023
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 26NJ14911700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 780 ROUTE 37 W STE 310, Toms River, NJ 08755-5059
- **Phone:** (732) 473-0158
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); Barnabas Health Medical Group, PC (NPI 1447206420, West Orange, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497469985) · Data from the CMS NPPES public registry.