CRYSTAL NATHALIA NOVELOZO FNP - NPI 1922694173 - Nurse Practitioner in Chiloquin, OR

Q: What is Crystal Novelozo's NPI number?

The NPI number for Crystal Novelozo is 1922694173. It was assigned to this individual provider in the NPPES registry on December 11, 2020.

Q: What is Crystal Novelozo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Novelozo was last updated on March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Crystal Nathalia Novelozo Fnp NPPES

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

CRYSTAL NATHALIA NOVELOZO FNP (NPI 1922694173) is an individual family provider in Chiloquin, Oregon, licensed in Florida (APRN11009981) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1922694173

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCRYSTAL NATHALIA NOVELOZOCredential: FNP

Location Address330 CHILOQUIN BLVDChiloquin, OR 97624-6747

Mailing Address3949 South 6th StreetKlamath Falls, OR 97603 · (541) 882-1487 · Fax (541) 880-5590

Phone(541) 882-1487

Fax(541) 783-3237

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 11, 2020

Last NPPES UpdateMarch 9, 20264 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1922694173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in FL · APRN11009981✔ Licensed in OR · 202207601NP-PP

Also ListedNurse PractitionerTaxonomy 363L00000X · License 2020068949 (FL)

330 CHILOQUIN BLVD, Chiloquin, OR 97624

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Other Identifiers 1

Medicaid500806410OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Crystal Nathalia Novelozo Fnp 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 ID2567877277

PECOS Enrollment IDI20210210001377

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97624 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKOWA NICOLE KATES RN

Registered Nurse