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MRS. CRYSTAL NOEL ODEGARD PA-C
NPI 1962081810
Physician Assistant in Eagle, ID

Active since April 07, 2021Opted out of Medicare · through Sep 9, 2027
1079 S ANCONA AVE STE 100, EAGLE, ID 83616(208) 853-2273 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Crystal Noel Odegard Pa-c NPPES

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

MRS. CRYSTAL NOEL ODEGARD PA-C (NPI 1962081810) is an individual physician assistant in Eagle, Idaho, licensed in Idaho (PA-1982) and active in the NPI registry since April 2021. She has opted out of Medicare through September 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962081810
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CRYSTAL NOEL ODEGARDCredential: PA-C
Location Address1079 S ANCONA AVE STE 100Eagle, ID 83616-7443
Mailing Address1652 W Sunny Slope DrMeridian, ID 83642-4336 · (541) 285-4851
Phone(208) 853-2273
Sole ProprietorNo
Enumeration DateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1962081810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-1982
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1079 S ANCONA AVE STE 100, Eagle, ID 83616
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Crystal Noel Odegard Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 9, 2021 through September 9, 2027.

Opt-Out Effective DateSeptember 9, 2021
Opt-Out In Effect ThroughSeptember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Odegard's NPI number?

The NPI number for Crystal Odegard is 1962081810. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Crystal Odegard located?

Crystal Odegard practices at 1079 S Ancona Ave Ste 100, Eagle, ID 83616. The listed phone number is (208) 853-2273.

What is Crystal Odegard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Crystal Odegard enrolled in Medicare?

No. Crystal Odegard has opted out of Medicare through September 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Crystal Odegard accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Crystal Odegard 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.

When was this NPI record last updated?

The NPPES record for Crystal Odegard was last updated on April 7, 2021. 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.