CRYSTAL RENEA HOULE FNP
NPI 1598044034
Nurse Practitioner - Family in Saginaw, MI

NPI Status: Active since August 16, 2011

Contact Information

4901 TOWNE CENTRE RD
SUITE 300
SAGINAW, MI
ZIP 48604
Phone: (989) 498-5700

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
Quality Reporting
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Family
Accepts Insurance
PECOS Enrolled
Medicare Quality Reporting

About CRYSTAL HOULE

This page provides the complete NPI Profile along with additional information for Crystal Houle, a provider established in Saginaw, Michigan with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1598044034 assigned on August 2011. The practitioner's primary taxonomy code is 363LF0000X with license number 4704213325 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1598044034
Provider Name: CRYSTAL RENEA HOULE FNP
Other Name: CRYSTAL RENEA BRANDON
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 4901 TOWNE CENTRE RD SUITE 300 SAGINAW, MI 48604
Location Phone: (989) 498-5700
Mailing Address: 36123 SCHOOLCRAFT RD LIVONIA, MI 48150
Mailing Phone: (734) 464-0887
Mailing Fax
Is Sole Proprietor?: Yes
Enumeration Date: 08-16-2011
Last Update Date: 12-18-2024
Code Navigator

A nurse practitioner (NP) like Crystal Houle is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

993 45th St
Mangonia Park, FL 33407
(561) 257-3348

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Family
Taxonomy Code: 363LF0000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 4704213325
License State: MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Family	APRN11016360 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

HAP CareSource

Bronze First - HMO
Bronze First Adult Vision & Fitness - HMO
Diabetes Gold - HMO
Diabetes Gold Adult Vision & Fitness - HMO
Diabetes Silver - HMO
Diabetes Silver Adult Vision & Fitness - HMO
Gold - HMO
Gold Adult Vision & Fitness - HMO
HDHP Preventive Silver - HMO
Healthy Heart Gold - HMO
Healthy Heart Gold Adult Vision & Fitness - HMO
Healthy Heart Silver - HMO
Healthy Heart Silver Adult Vision & Fitness - HMO
Low Premium Silver - HMO
Low Premium Silver Adult Vision & Fitness - HMO
Silver - HMO
Silver Adult Vision & Fitness - HMO

Molina Healthcare

Bronze 4 - HMO
Bronze 8 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO
Silver 9 - HMO

Priority Health

MyPriority Balanced Silver - HMO
MyPriority Premier Silver - HMO
MyPriority Standard Bronze - HMO
MyPriority Standard Bronze - Travel - HMO
MyPriority Standard Gold - HMO
MyPriority Standard Silver - HMO
MyPriority Standard Silver - Travel - HMO
MyPriority Value Bronze - HMO
MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Crystal Houle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48604 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $84.74
Minimum New Patient Price $54.34
Maximum New Patient Price $166.68

Average New Patient Copayment $21.18
Minimum New Patient Copayment $13.58
Maximum New Patient Copayment $41.67

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $96.44
Minimum Established Patient Price $17.09
Maximum Established Patient Price $135.4

Average Established Patient Copayment $24.11
Minimum Established Patient Copayment $4.27
Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Care Plan	100%	193
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	9	8	0	4	4	0	3	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	18	8	0	4	8	0	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 0 + 4 + 8 + 0 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1598044034 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.