KRYSTAL J HOLDERNESS NAKAMURA (M.D.) – Dermatology Physician, NPI 1669442422

KRYSTAL J HOLDERNESS NAKAMURA (M.D.) is a healthcare provider. based in Pueblo, Colorado. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 44146 (CO). The NPI Number for KRYSTAL J HOLDERNESS NAKAMURA (M.D.) is 1669442422

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL J HOLDERNESS NAKAMURA (M.D.)
NPI
1669442422
Phone
(719) 564-5544
Address
2001 LAKE AVE
Enumeration Date
25 January 2006
Last Update Date
9 March 2012

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7195645544
Graduation Year
2002 (24 years ago)
PAC ID
2860396066
Group Practice PAC ID
2769474840
Professional Enrollment ID
I20061211000656
Address ID
CO810032622PU509XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

364 DERMATOLOGY in CO

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Provider Addresses for KRYSTAL J HOLDERNESS NAKAMURA (M.D.)

  • 2001, Lake Avenue, Pueblo, Pueblo County, Colorado, 81004, United States

    PUEBLO, CO 810043538

    Phone: (719) 564-5544

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Janssen Biotech, Inc. ($110).

Total Amount

$217

General + Research + Ownership

Payments

7

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061211000656IDermatologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths526138$0
99213Established patient office or other outpatient visit, 20-29 minutes289214$0
17000Destruction of precancer skin growth, 1 growth226178$0
11102Biopsy of related skin growth, first growth10786$0
99214Established patient office or other outpatient visit, 30-39 minutes4137$0
View full utilization report →

Insurance plans in this area (ZIP 81004)

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Provider's Procedures

KRYSTAL J HOLDERNESS NAKAMURA (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCO11101Biopsy of each additional growth of skin and/or tissue1513
DERMATOLOGYCO17003Destruction of 2-14 skin growths130106

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769474840View full group profile
NameSpecialtyState
Physician AssistantCO
D E R M A T O L O G YTX
Micrographic Dermatologic Surgery (Mds), DermatologyCO
D E R M A T O L O G YCO
D E R M A T O L O G YCO

Reviews

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Frequently asked questions

Can I use this page to confirm KRYSTAL J HOLDERNESS NAKAMURA (M.D.)'s NPI?
Yes. KRYSTAL J HOLDERNESS NAKAMURA (M.D.) is listed with NPI 1669442422 in the public NPI dataset.
Is KRYSTAL J HOLDERNESS NAKAMURA (M.D.) still practicing?
KRYSTAL J HOLDERNESS NAKAMURA (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does KRYSTAL J HOLDERNESS NAKAMURA (M.D.) hold?
Scheduling teams often label KRYSTAL J HOLDERNESS NAKAMURA (M.D.) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect KRYSTAL J HOLDERNESS NAKAMURA (M.D.) on a map?
Expect Pueblo, Colorado as a primary anchor for KRYSTAL J HOLDERNESS NAKAMURA (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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