KRYSTAL COUTCHER (PA-C) – Medical Physician Assistant, NPI 1700338407

KRYSTAL COUTCHER (PA-C) is a healthcare provider. based in Waterbury, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA01257 (RI). The NPI Number for KRYSTAL COUTCHER (PA-C) is 1700338407

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL COUTCHER (PA-C)
NPI
1700338407
Phone
(203) 754-2535
Address
134 Grandview Ave
Enumeration Date
28 October 2016
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014673115
Graduation Year
2016 (10 years ago)
PAC ID
1557644507
Group Practice PAC ID
8325486244
Professional Enrollment ID
I20201217002708
Address ID
RI028651102LI6XXXXPLXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:9State licenses:2Digital endpointsOther names

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201217002708IPhysician AssistantRITBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4016$0
99213Established patient office or other outpatient visit, 20-29 minutes2323$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 06708)

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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: 8325486244View full group profile
NameSpecialtyState
Physician AssistantMA
Physician AssistantRI
Family PracticeRI
Internal MedicineRI
Family PracticeRI
Nurse PractitionerRI
Physician AssistantRI
Physician AssistantMA
Internal MedicineRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

What is the registry number for KRYSTAL COUTCHER (PA-C)?
The registry entry for KRYSTAL COUTCHER (PA-C) shows NPI 1700338407.
Is KRYSTAL COUTCHER (PA-C)'s NPI status active today?
Active status means KRYSTAL COUTCHER (PA-C)'s NPI record is not deactivated in the public file.
How should patients interpret KRYSTAL COUTCHER (PA-C)'s specialty?
The extract shows Medical Physician Assistant for KRYSTAL COUTCHER (PA-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KRYSTAL COUTCHER (PA-C)?
KRYSTAL COUTCHER (PA-C) is associated with Waterbury, Connecticut in the same public data insurers reference.
Can I export KRYSTAL COUTCHER (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.