CRYSTAL PONDER
NPI 1619810520
Nurse Practitioner - Family in Fayetteville, NC
About Crystal Ponder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL PONDER (NPI 1619810520) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5024226) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crystal Ponder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28311 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28311
FAYETTEVILLE, NC 28311
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 Ponder's NPI number?
The NPI number for Crystal Ponder is 1619810520. It was assigned to this individual provider in the NPPES registry on April 14, 2026.
Where is Crystal Ponder located?
Crystal Ponder practices at 6387 Ramsey St Unit 240, Fayetteville, NC 28311. The listed phone number is (910) 615-3999.
What is Crystal Ponder's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystal Ponder enrolled in Medicare?
Yes. Crystal Ponder is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Crystal Ponder was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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 Ponder · NPI 1619810520
Family physician in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since April 14, 2026.
## Identity
- **NPI:** 1619810520 (Entity type: Individual)
- **Enumerated:** April 14, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5024226 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6387 RAMSEY ST UNIT 240, Fayetteville, NC 28311-9442
- **Phone:** (910) 615-3999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619810520) · Data from the CMS NPPES public registry.