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KRYSTAL JO ETTERS RN
NPI 1780924217
Nurse Practitioner - Primary Care in Roseville, OH

Active since February 20, 2013PECOS Enrolled
4690 BUTLER RD, ROSEVILLE, OH 43777(740) 252-1934 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Krystal Jo Etters Rn NPPES

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

KRYSTAL JO ETTERS RN (NPI 1780924217) is an individual primary care provider in Roseville, Ohio, licensed in Ohio (APRN.CNP.0029903) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780924217
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKRYSTAL JO ETTERSCredential: RN
Location Address4690 BUTLER RDRoseville, OH 43777-9719
Mailing Address420 Perine RdZanesville, OH 43701-7641
Phone(740) 252-1934
Sole ProprietorNo
Enumeration DateFebruary 20, 2013
Last NPPES UpdateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1780924217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OH · APRN.CNP.0029903
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.374253 (OH)
4690 BUTLER RD, Roseville, OH 43777
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Other Names 1

Former Name (1)Krystal Jo Rice

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Jo Etters Rn 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Krystal Etters reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Absolute Palliative Care, Inc
77 mi
Hospice and Palliative Medicine
7171 KECK PARK CIR NW STE 120
North Canton, OH 44720
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1013887272 (330) 498-8047
Absolute Hospice, Inc.
78 mi
Hospice Care, Community Based
7171 KECK PARK CIR NW STE 115
North Canton, OH 44720
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
NPI 1649694068 (330) 498-8075

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43777 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Krystal Etters's NPI number?

The NPI number for Krystal Etters is 1780924217. It was assigned to this individual provider in the NPPES registry on February 20, 2013. The provider is also known as Krystal Jo Rice.

Where is Krystal Etters located?

Krystal Etters practices at 4690 Butler Rd, Roseville, OH 43777. The listed phone number is (740) 252-1934.

What is Krystal Etters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Krystal Etters enrolled in Medicare?

Yes. Krystal Etters is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Krystal Etters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Etters reassigns Medicare benefits to 2 organizations: Absolute Palliative Care, Inc (North Canton, OH) and Absolute Hospice, Inc. (North Canton, OH). Each 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 Krystal Etters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Krystal Etters was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.