CRYSTAL HEALTH SOLUTIONS MICHIGAN LLC
NPI 1912763517
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in North Salt Lake, UT
About Crystal Health Solutions Michigan Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL HEALTH SOLUTIONS MICHIGAN LLC (NPI 1912763517) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in North Salt Lake, Utah and active in the NPI registry since February 2024. The organization lists Jacob C Moench, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crystal Health Solutions Michigan Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Crystal Health Solutions Michigan LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health Solutions Michigan LLC's NPI number?
The NPI number for Crystal Health Solutions Michigan LLC is 1912763517. It was assigned to this organization in the NPPES registry on February 22, 2024.
Where is Crystal Health Solutions Michigan LLC located?
Crystal Health Solutions Michigan LLC is located at 160 Cutler Dr Ste 200, North Salt Lake, UT 84054. The listed phone number is (801) 631-3570.
What is Crystal Health Solutions Michigan LLC's specialty?
The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.
Is Crystal Health Solutions Michigan LLC enrolled in Medicare?
Yes. Crystal Health Solutions Michigan LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crystal Health Solutions Michigan LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Crystal Health Solutions Michigan LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Crystal Health Solutions Michigan LLC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Crystal Health Solutions Michigan Llc · NPI 1912763517
Preventive Medicine/Occupational Environmental Medicine organization in North Salt Lake, Utah. Organization record, active in the CMS NPPES registry since February 22, 2024.
## Identity
- **NPI:** 1912763517 (Entity type: Organization)
- **Enumerated:** February 22, 2024
- **Primary specialty:** Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine · taxonomy 2083P0500X
- **Organization subpart:** No
- **Authorized official:** Jacob Moench, OWNER
## Practice location
- **Address:** 160 CUTLER DR STE 200, North Salt Lake, UT 84054-2967
- **Phone:** (801) 631-3570
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912763517) · Data from the CMS NPPES public registry.