MRS. CRYSTAL MUMFORD PA
NPI 1619133907
Physician Assistant in Kalamazoo, MI

Active since August 06, 2008PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
1535 GULL RD STE 200, KALAMAZOO, MI 49048(269) 388-6350(269) 388-4738 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2020, Jul 26, 2018 (2 updates tracked since 2018).

About Mrs. Crystal Mumford Pa NPPES

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

MRS. CRYSTAL MUMFORD PA (NPI 1619133907) is an individual physician assistant in Kalamazoo, Michigan and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1619133907
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CRYSTAL MUMFORDCredential: PA
Location Address1535 GULL RD STE 200Kalamazoo, MI 49048-1638
Mailing Address1535 Gull Rd Ste 200Kalamazoo, MI 49048-1638 · (269) 388-6350 · Fax (269) 388-4738
Fax(269) 388-4738
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 6, 2008
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
NPI 1619133907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1535 GULL RD STE 200, Kalamazoo, MI 49048

Secondary Practice Location 1

Location 1125 S Kalamazoo Mall, SUITE 204Kalamazoo, MI 49007-4832 · Phone (269) 343-3900 ext. 228 · Fax (269) 343-5640

Accepted Insurance

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

Mrs. Crystal Mumford Pa 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 ID8527129915
PECOS Enrollment IDI20081203000701
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services79 patients
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.
24 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES 12

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

Radiology Practitioner Assistant
1535 GULL RD STE 200
KALAMAZOO, MI 49048
Radiology (Neuroradiology)
1535 GULL RD STE 200
KALAMAZOO, MI 49048
Radiology (Diagnostic Radiology)
1535 GULL RD STE 200
KALAMAZOO, MI 49048
Radiology (Diagnostic Radiology)
1535 GULL RD STE 200
KALAMAZOO, MI 49048
Radiology (Diagnostic Radiology)
1535 GULL RD STE 200
KALAMAZOO, MI 49048
Radiology (Diagnostic Radiology)
1535 GULL RD STE 200
KALAMAZOO, MI 49048
Radiology (Diagnostic Radiology)
1535 GULL RD STE 200
KALAMAZOO, MI 49048
Radiology (Diagnostic Radiology)
1535 GULL RD STE 200
KALAMAZOO, MI 49048

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 Mumford's NPI number?

The NPI number for Crystal Mumford is 1619133907. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Crystal Mumford located?

Crystal Mumford practices at 1535 Gull Rd Ste 200, Kalamazoo, MI 49048. The listed phone number is (269) 388-6350.

What is Crystal Mumford's specialty?

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

Is Crystal Mumford enrolled in Medicare?

Yes. Crystal Mumford 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.

What insurance does Crystal Mumford accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Crystal Mumford 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 Mumford affiliated with any hospitals?

According to CMS data, Crystal Mumford is affiliated with Bronson Methodist Hospital, Bronson Battle Creek Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Crystal Mumford was last updated on November 27, 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.