CRYSTAL GAIL RENEAU APRN-CNP
NPI 1639942105
Nurse Practitioner - Family in Broken Arrow, OK

Q: What is Crystal Reneau's NPI number?

The NPI number for Crystal Reneau is 1639942105. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Q: What is Crystal Reneau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Reneau was last updated on November 6, 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.

Active since November 06, 2023PECOS EnrolledAccepts Medicare Assignment

1129 S ASPEN AVE, BROKEN ARROW, OK 74012(539) 367-1253(539) 367-3311 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Crystal Gail Reneau Aprn-cnp NPPES

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

CRYSTAL GAIL RENEAU APRN-CNP (NPI 1639942105) is an individual family provider in Broken Arrow, Oklahoma, licensed in Oklahoma (215764) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639942105

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCRYSTAL GAIL RENEAUCredential: APRN-CNP

Location Address1129 S ASPEN AVEBroken Arrow, OK 74012-4859

Mailing AddressPo Box 281Peggs, OK 74452-0281 · (918) 708-5083

Phone(539) 367-1253

Fax(539) 367-3311

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 6, 2023

NPPES CertifiedNovember 6, 2023

✔ NPI 1639942105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 215764

1129 S ASPEN AVE, Broken Arrow, OK 74012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Crystal Gail Reneau Aprn-cnp 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 ID6406205350

PECOS Enrollment IDI20231218002249

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

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.

34 services29 patients

Hospital Affiliations CMS Care Compare

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

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370089

Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Other Providers at the Same Location NPPES 5

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

MELTON HEALTH AND MEDICAL SERVICES

Counselor (Mental Health)