CRYSTAL GUTTMAN APNP
NPI 1629446331
Nurse Practitioner - Family in Appleton, WI
About Crystal Guttman Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL GUTTMAN APNP (NPI 1629446331) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (6637-33) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 Guttman Apnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Crystal Guttman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Regional Med Ctr - Neenah
Acute Care Hospitals · Neenah, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIThedacare Medical Center-Waupaca
Critical Access Hospitals · Waupaca, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54913 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APPLETON, WI 54913
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 Guttman's NPI number?
The NPI number for Crystal Guttman is 1629446331. It was assigned to this individual provider in the NPPES registry on September 11, 2015.
Where is Crystal Guttman located?
Crystal Guttman practices at 3925 N Gateway Dr, Appleton, WI 54913. The listed phone number is (920) 749-1171.
What is Crystal Guttman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystal Guttman enrolled in Medicare?
Yes. Crystal Guttman 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 organization bills Medicare for Crystal Guttman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Guttman reassigns Medicare benefits to Thedacare, Incorporated (Menasha, WI). The 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 Guttman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystal Guttman accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Crystal Guttman 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 Guttman affiliated with any hospitals?
According to CMS data, Crystal Guttman is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc and Thedacare Medical Center-Waupaca.
When was this NPI record last updated?
The NPPES record for Crystal Guttman was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Crystal Guttman, APNP · NPI 1629446331
Family physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since September 11, 2015.
## Identity
- **NPI:** 1629446331 (Entity type: Individual)
- **Enumerated:** September 11, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6637-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3925 N GATEWAY DR, Appleton, WI 54913-7863
- **Phone:** (920) 749-1171
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Thedacare, Incorporated (NPI 1306959515, Menasha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 28, 2016
- **Other identifiers:** Medicare PIN K400252048 (WI); Medicaid 1629446331 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1629446331) · Data from the CMS NPPES public registry.