CRYSTAL AMOAH – Psychiatric/Mental Health Nurse Practitioner, NPI 1053856138

Psychiatric/Mental Health Nurse Practitioner

CRYSTAL AMOAH is a healthcare provider. based in Newark, Delaware. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. SP017077 (PA). The NPI Number for CRYSTAL AMOAH is 1053856138

Main info

Female

Sole Proprietor

10 Years Of Experience

Accepts Medicare Assignment

Name

CRYSTAL AMOAH

NPI

1053856138

Phone

(302) 454-7520

Address

1423 CAPITOL TRAIL

Enumeration Date

28 December 2016

Last Update Date

28 March 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8338862277

Graduation Year

2016 (10 years ago)

PAC ID

6507142320

Group Practice PAC ID

0042290686

Professional Enrollment ID

I20190423000895

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience41

Completeness75

Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for CRYSTAL AMOAH

1423 CAPITOL TRAIL
BUILDING 3
NEWARK, DE 19711
Phone: (302) 454-7520
Fax: (302) 565-6049
Type: Location
63 E JONATHAN CT
KENNETT SQ, PA 193481850
Phone: (484) 620-5677
Type: Mailing

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: 2019-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20170411000339	I	Nurse Practitioner	PA	TBD
I20190423000895	I	Nurse Practitioner	DE	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99214	Established patient office or other outpatient visit, 30-39 minutes	60	13	$0

View full utilization report →

Insurance plans in this area (ZIP 19711)

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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: 0042290686View full group profile

Name	Specialty	State
STEPHANIE D. JOHNSON (FNP-C, PMHNP-BC)	Nurse Practitioner	DE
MELISSA J. SCHNECK (LCSW)	-	DE
TINA M. CUBETA (APN, BC)	-	DE
MS. LISA ANN CLARK (LCSW)	-	DE
CHERONNA GRAHAM (CRNP)	-	NC
MRS. LESLIE R PRYOR (RN,MSN,ANP-C)	-	NJ
MICHELLE R MARCANTUNO (CRNP)	-	DE
LAKEEYA THORNTON (LSW)	-	DE
MS. NANCY ANN MARIE CLEARY (CRNP)	-	DE
PATIENCE AGBEVIADEY	-	DE

Reviews

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Frequently asked questions

Does CRYSTAL AMOAH share an NPI with anyone else?

NPI numbers are unique to each provider or organization — CRYSTAL AMOAH uses 1053856138.

Does CMS list CRYSTAL AMOAH as active?

Yes — CRYSTAL AMOAH is active in the NPI listing used on this page.

What healthcare role does CRYSTAL AMOAH hold?

Scheduling teams often label CRYSTAL AMOAH under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Where is CRYSTAL AMOAH based?

CRYSTAL AMOAH is tied to Newark, Delaware in the data we show; additional addresses may exist on the full record.

How many locations tie to this NPI?

2 practice locations appear in the available data.