DR. CRYSTAL MARIE BROUSSARD AU.D.
NPI 1770763559
Audiologist in North Fort Myers, FL
About Dr. Crystal Marie Broussard Au.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CRYSTAL MARIE BROUSSARD AU.D. (NPI 1770763559) is an individual audiologist in North Fort Myers, Florida, licensed in Florida (AY1198) and active in the NPI registry since November 2007.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Crystal Marie Broussard Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Crystal Broussard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cape Coral, FL 33990
- Reassigned Medicare billing, Florida enrollment
- 8 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 3
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Broussard's NPI number?
The NPI number for Crystal Broussard is 1770763559. It was assigned to this individual provider in the NPPES registry on November 8, 2007. The provider is also known as Dr. Crystal Marie Goetz Au.D.
Where is Crystal Broussard located?
Crystal Broussard practices at 16251 N Cleveland Ave Ste 8, North Fort Myers, FL 33903. The listed phone number is (239) 997-8288.
What is Crystal Broussard's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Crystal Broussard enrolled in Medicare?
Yes. Crystal Broussard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Crystal Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Broussard reassigns Medicare benefits to Cape Coral Ear Nose & Throat Center Pl (Cape Coral, FL). 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 Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystal Broussard accept?
Health plans from Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc. and Oscar Insurance Company list Crystal Broussard 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.
When was this NPI record last updated?
The NPPES record for Crystal Broussard was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.