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CRYSTAL ORTIZ
NPI 1992520621
Nurse Practitioner - Family in Bourbonnais, IL

Active since November 18, 2024PECOS EnrolledAccepts Medicare Assignment
2070 N IL-50, 500, BOURBONNAIS, IL 60914(779) 236-4094 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 20, 2024, Nov 18, 2024 (2 updates tracked since 2024).

About Crystal Ortiz NPPES

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

CRYSTAL ORTIZ (NPI 1992520621) is an individual family provider in Bourbonnais, Illinois, licensed in Illinois (209031084) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992520621
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL ORTIZ
Location Address2070 N IL-50, 500Bourbonnais, IL 60914
Mailing Address21364 Willow PassShorewood, IL 60404-8237 · (630) 312-0348
Phone(779) 236-4094
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 18, 2024
Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1992520621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209031084
2070 N IL-50, Bourbonnais, IL 60914
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystal Ortiz 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 ID244768158
PECOS Enrollment IDI20250106002569
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.

Medicare Billing Reassignment

Medicare enrollment records show Crystal Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Express Care 2, Inc
39 mi
Urgent Care
40 75TH ST
Willowbrook, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 410 clinicians in this Medicare group
NPI 1548692890 (630) 400-4060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60914 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 2

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

STEVEN JOSEPH BUKAUSKAS
Nurse Practitioner (Family)
2070 N IL-50, #500
BOURBONNAIS, IL 60914
Kankakee County (779) 236-4094
ANNA MAREK FNP-BC
Nurse Practitioner (Family)
2070 N IL-50, #500
BOURBONNAIS, IL 60914
Kankakee County (779) 236-4094

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 Ortiz's NPI number?

The NPI number for Crystal Ortiz is 1992520621. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Where is Crystal Ortiz located?

Crystal Ortiz practices at 2070 N Il-50 500, Bourbonnais, IL 60914. The listed phone number is (779) 236-4094.

What is Crystal Ortiz's specialty?

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

Is Crystal Ortiz enrolled in Medicare?

Yes. Crystal Ortiz 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.

Which organization bills Medicare for Crystal Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Ortiz reassigns Medicare benefits to Midwest Express Care 2, Inc (Willowbrook, IL). The 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 Crystal Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Crystal Ortiz was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.