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CRYSTAL MARIE NANCE-PANEK MD
NPI 1689461469
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 23, 2025PECOS Enrolled
3901 CHRYSLER SERVICE DR., DETROIT, MI 48201(313) 993-3416 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Marie Nance-panek Md NPPES

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

CRYSTAL MARIE NANCE-PANEK MD (NPI 1689461469) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689461469
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCRYSTAL MARIE NANCE-PANEKCredential: MD
Location Address3901 CHRYSLER SERVICE DR.Detroit, MI 48201
Mailing Address5439 High Ridge DrYpsilanti, MI 48197-6760 · (734) 895-5251
Phone(313) 993-3416
Sole ProprietorYes
Enumeration DateApril 23, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1689461469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3901 CHRYSLER SERVICE DR., Detroit, MI 48201
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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 Marie Nance-panek Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

MANUEL ELLIS TANCER MD
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER SERVICE DR.
DETROIT, MI 48201
Wayne County (313) 993-3434
DR. ARASH JAVANBAKHT MD
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER SERVICE DR.
DETROIT, MI 48201
Wayne County (313) 993-3434

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 Nance-panek's NPI number?

The NPI number for Crystal Nance-panek is 1689461469. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Crystal Nance-panek located?

Crystal Nance-panek practices at 3901 Chrysler Service Dr., Detroit, MI 48201. The listed phone number is (313) 993-3416.

What is Crystal Nance-panek's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Crystal Nance-panek enrolled in Medicare?

Yes. Crystal Nance-panek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Nance-panek was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.