CRYSTAL MEDICI
NPI 1518537406
Nurse Practitioner - Acute Care in Birmingham, AL

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment
81.81/100
CMS Quality Rating
1802 6TH AVE S, BIRMINGHAM, AL 35233(205) 913-2156 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Crystal Medici NPPES

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

CRYSTAL MEDICI (NPI 1518537406) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-132176) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518537406
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCRYSTAL MEDICI
Location Address1802 6TH AVE SBirmingham, AL 35233-1932
Mailing Address5381 Memory LnMount Olive, AL 35117-3225 · (205) 934-9999
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1518537406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-132176
1802 6TH AVE S, Birmingham, AL 35233

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 Medici 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 ID4082017546
PECOS Enrollment IDI20210722000506
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

4

Medicare enrollment records show Crystal Medici reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3056 HEALTHY WAY STE 100
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 22 clinicians in this Medicare group
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Alabama enrollment
  • 229 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Alabama enrollment
  • 456 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 2

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.

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.
132 services126 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.39
Promoting Interoperability95
Improvement Activities40
Cost82.11

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.

Internal Medicine (Hematology & Oncology)
1802 6TH AVE S, NP 2556
BIRMINGHAM, AL 35233
Physician Assistant
1802 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
1802 6TH AVE S
BIRMINGHAM, AL 35233
Registered Nurse
1802 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Anesthetist, Certified Registered
1802 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Anesthetist, Certified Registered
1802 6TH AVE S
BIRMINGHAM, AL 35233
Registered Nurse
1802 6TH AVE S
BIRMINGHAM, AL 35233
Registered Nurse
1802 6TH AVE S
BIRMINGHAM, AL 35233

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 Medici's NPI number?

The NPI number for Crystal Medici is 1518537406. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Crystal Medici located?

Crystal Medici practices at 1802 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 913-2156.

What is Crystal Medici's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Crystal Medici enrolled in Medicare?

Yes. Crystal Medici 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 Medici's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Medici reassigns Medicare benefits to 4 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL), Stv Cardiothoracic Surgeons LLC (Birmingham, AL), Hospital Medicine Associates LLC (Baton Rouge, LA) and Signify Health, LLC (Dallas, TX). 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 Medici's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Medici accept?

Health plans from Blue Cross and Blue Shield of Alabama list Crystal Medici 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 Medici was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.