CRYSTAL EZE PMHNP-BC
NPI 1659193720
Nurse Practitioner - Psychiatric/Mental Health in Stockton, CA

Active since October 29, 2024PECOS EnrolledAccepts Medicare Assignment
2505 W HAMMER LN, STOCKTON, CA 95209(209) 524-9401 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Eze Pmhnp-bc NPPES

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

CRYSTAL EZE PMHNP-BC (NPI 1659193720) is an individual psychiatric/mental health provider in Stockton, California, licensed in California (95033110) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1659193720
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCRYSTAL EZECredential: PMHNP-BC
Location Address2505 W HAMMER LNStockton, CA 95209-2839
Mailing Address1201 S 7th Ave Ste 150Phoenix, AZ 85007-4075
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 29, 2024
Last NPPES UpdateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
NPI 1659193720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in CA · 95033110 Licensed in AZ · 237818
Also ListedRegistered NurseTaxonomy 163W00000X · License 237818 (AZ)
2505 W HAMMER LN, Stockton, CA 95209

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 Eze Pmhnp-bc 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 ID3577092048
PECOS Enrollment IDI20250128005008
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95209 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

Internal Medicine
2505 W HAMMER LN
STOCKTON, CA 95209
Allergy & Immunology
2505 W HAMMER LN
STOCKTON, CA 95209
Physician Assistant
2505 W HAMMER LN
STOCKTON, CA 95209
Urology
2505 W HAMMER LN
STOCKTON, CA 95209
Internal Medicine
2505 W HAMMER LN
STOCKTON, CA 95209
Family Medicine
2505 W HAMMER LN
STOCKTON, CA 95209
Hospitalist
2505 W HAMMER LN
STOCKTON, CA 95209
Family Medicine
2505 W HAMMER LN
STOCKTON, CA 95209

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 Eze's NPI number?

The NPI number for Crystal Eze is 1659193720. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Crystal Eze located?

Crystal Eze practices at 2505 W Hammer Ln, Stockton, CA 95209. The listed phone number is (209) 524-9401.

What is Crystal Eze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Crystal Eze enrolled in Medicare?

Yes. Crystal Eze 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.

When was this NPI record last updated?

The NPPES record for Crystal Eze was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.