CRYSTAL LYNN PEMBERTON FNP-C
NPI 1811795073
Nurse Practitioner - Family in Wall, NJ
About Crystal Lynn Pemberton Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL LYNN PEMBERTON FNP-C (NPI 1811795073) is an individual family provider in Wall, New Jersey, licensed in New Jersey (26NJ15288400) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Neptune, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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 Lynn Pemberton Fnp-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Pemberton's NPI number?
The NPI number for Crystal Pemberton is 1811795073. It was assigned to this individual provider in the NPPES registry on March 4, 2025. The provider is also known as Mrs. Crystal Lynn Pemberton Fnp-C.
Where is Crystal Pemberton located?
Crystal Pemberton practices at 1924 Rte 35 Ste 5, Wall, NJ 07719. The listed phone number is (732) 974-8404.
What is Crystal Pemberton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystal Pemberton enrolled in Medicare?
Yes. Crystal Pemberton 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 Pemberton was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.
# Crystal Lynn Pemberton, FNP-C · NPI 1811795073
Family physician in Wall, New Jersey. Individual provider, active in the CMS NPPES registry since March 4, 2025.
## Identity
- **NPI:** 1811795073 (Entity type: Individual)
- **Enumerated:** March 4, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15288400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1924 RTE 35, STE 5, Wall, NJ 07719-3530
- **Phone:** (732) 974-8404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811795073) · Data from the CMS NPPES public registry.