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CRYSTAL MARIE CARROLL
NPI 1497469985
Nurse Practitioner - Gerontology in Toms River, NJ

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment
780 ROUTE 37 W STE 310, TOMS RIVER, NJ 08755(732) 473-0158 Get Directions Write a Review

NPPES record last updated: March 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2025, Nov 7, 2023, Jan 9, 2023 (3 updates tracked since 2023).

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

NPI1497469985
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCRYSTAL MARIE CARROLL
Location Address780 ROUTE 37 W STE 310Toms River, NJ 08755-5059
Mailing Address780 Route 37 W Ste 310Toms River, NJ 08755-5059 · (732) 473-0158
Phone(732) 473-0158
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 9, 2023
Last NPPES UpdateMarch 16, 20253 updates tracked since enumeration
NPPES CertifiedMarch 16, 2025
✔ NPI 1497469985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ14911700
780 ROUTE 37 W STE 310, Toms River, NJ 08755
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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 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.

PECOS PAC ID2163870643
PECOS Enrollment IDI20231121003117
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
198 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
124 services57 patients
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.
112 services76 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.
106 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services34 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician 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.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 2

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

MRS. TINA RENEE LOSI-PETERSEN M.A., LPC, NCC
Counselor (Professional)
780 ROUTE 37 W STE 310
TOMS RIVER, NJ 08755
Ocean County (732) 814-5061
DR. LANCE SETH BERGER M.D.
Internal Medicine (Cardiovascular Disease)
780 ROUTE 37 W STE 310
TOMS RIVER, NJ 08755
Ocean County (732) 473-0158

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.

Is Crystal Carroll affiliated with any hospitals?

According to CMS data, Crystal Carroll is affiliated with Community 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 with the weekly NPPES data releases published by CMS.