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KRYSTAL ROMERO VALENTIN MD
NPI 1821607631
Family Medicine in Janesville, WI

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment
1000 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 756-6868(608) 756-6289 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2024, Nov 22, 2023, Jul 28, 2020 (3 updates tracked since 2020).

About Krystal Romero Valentin Md NPPES

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

KRYSTAL ROMERO VALENTIN MD (NPI 1821607631) is an individual family medicine provider in Janesville, Wisconsin, licensed in Wisconsin (75813-20) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1821607631
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRYSTAL ROMERO VALENTINCredential: MD
Location Address1000 MINERAL POINT AVEJanesville, WI 53548-2982
Mailing Address1000 Mineral Point AveJanesville, WI 53548-2982 · (608) 756-6868 · Fax (608) 756-6289
Phone(608) 756-6868
Fax(608) 756-6289
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 28, 2020
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1821607631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 75813-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 75813-20 (WI)
1000 MINERAL POINT AVE, Janesville, WI 53548
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Secondary Practice Location 1

Location 1849 Kellogg AveJanesville, WI 53546-2808 · Phone (608) 755-7960 · Fax (608) 755-7873

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Krystal Romero Valentin Md 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 ID244628139
PECOS Enrollment IDI20211026002018
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
411 services166 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
119 services115 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$50.98 avg. paid by Medicare
Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
1 supplier11 claims11 services$80.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BENJAMIN C. MILLER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6508
KARINA LAURA PAULIUS QUINN MD
Plastic Surgery
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
ALESIA L DRAKE DPT, PT
Physical Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6842
PAULINE R CASS PHARMD
Pharmacist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
KAREN SAUNDERS OT
Occupational Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
DR. MERLE S RUST MD
Neurological Surgery
1000 MINERAL POINT AVE, MERCY WEST NEUROSURGERY
JANESVILLE, WI 53548
Rock County (608) 756-6826
DR. MICHAEL V COOGAN MD
Emergency Medicine (Medical Toxicology)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
CHRISTOPHER B GOODAVISH PA
Physician Assistant
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6868

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 Romero Valentin's NPI number?

The NPI number for Krystal Romero Valentin is 1821607631. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Krystal Romero Valentin located?

Krystal Romero Valentin practices at 1000 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-6868.

What is Krystal Romero Valentin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Krystal Romero Valentin enrolled in Medicare?

Yes. Krystal Romero Valentin 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.

What insurance does Krystal Romero Valentin accept?

Health plans from Anthem Blue Cross and Blue Shield list Krystal Romero Valentin 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.

Is Krystal Romero Valentin affiliated with any hospitals?

According to CMS data, Krystal Romero Valentin is affiliated with Mercy Health System Corp and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Krystal Romero Valentin was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.