KRYSTAL COUTCHER (PA-C) – Medical Physician Assistant, NPI 1700338407
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for KRYSTAL COUTCHER (PA-C)
134 Grandview Ave
210
Waterbury, CT 067082507
Phone: (203) 754-2535
Type: Location
489, Comstock Parkway, Comstock Gardens, Cranston, Providence County, Rhode Island, 02921, United States
CRANSTON, RI 029212345
Phone: (203) 800-5567
Type: Mailing
535, Centerville Road, Warwick, Kent County, Rhode Island, 02886, United States
WARWICK, RI 028864486
Phone: (800) 659-5411
Type: Location
2 Adams Pl Ste 305
Quincy, MA 021697456
Phone: (617) 302-4194
Type: Location
6 Blackstone Valley Pl Ste 502
Lincoln, RI 028651102
Phone: (401) 334-6262
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-12-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201217002708 | I | Physician Assistant | RI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 40 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 06708)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Physician Assistant | RI | |
| Family Practice | RI | |
| Internal Medicine | RI | |
| Family Practice | RI | |
| Nurse Practitioner | RI | |
| Physician Assistant | RI | |
| Physician Assistant | MA | |
| Internal Medicine | RI | |
| Nurse Practitioner | RI |
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