CRYSTAL WILSON
NPI 1922614551
Nurse Practitioner - Family in South Euclid, OH
About Crystal Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL WILSON (NPI 1922614551) is an individual family provider in South Euclid, Ohio, licensed in Ohio (APRN.CNP.0027557) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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 Wilson 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 44121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
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 Wilson's NPI number?
The NPI number for Crystal Wilson is 1922614551. It was assigned to this individual provider in the NPPES registry on September 18, 2020.
Where is Crystal Wilson located?
Crystal Wilson practices at 2120 S Green Rd, South Euclid, OH 44121. The listed phone number is (330) 718-5006.
What is Crystal Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystal Wilson enrolled in Medicare?
Yes. Crystal Wilson 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 Wilson was last updated on September 18, 2020. 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.
# Crystal Wilson · NPI 1922614551
Family physician in South Euclid, Ohio. Individual provider, active in the CMS NPPES registry since September 18, 2020.
## Identity
- **NPI:** 1922614551 (Entity type: Individual)
- **Enumerated:** September 18, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.0027557 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2120 S GREEN RD, South Euclid, OH 44121-3349
- **Phone:** (330) 718-5006
## 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 2020
## Record status
- **NPPES last updated:** September 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1922614551) · Data from the CMS NPPES public registry.