CRYSTAL A CISZEK (FNP) – Family Nurse Practitioner, NPI 1124486089
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for CRYSTAL A CISZEK (FNP)
463688 STATE ROAD 200, STE 1
#364
YULEE, FL 320970304
Phone: (478) 290-0677
Type: Mailing
10752 DEERWOOD PARK BLVD STE 100
JACKSONVILLE, FL 322564846
Phone: (478) 290-0677
Type: Location
PO BOX 407
VIDALIA, GA 304750407
Phone: (912) 537-4986
Type: Mailing
104 Fairview Park Dr
Dublin, GA 310212500
Phone: (478) 272-1366
Fax: (478) 277-1251
Type: Location
1831 E 71st St
Tulsa, OK 741363922
Phone: (866) 949-0108
Type: Location
774 Highway 96
Bonaire, GA 310053300
Phone: (478) 988-5711
Type: Location
104, Fairview Park Drive, Dublin, Laurens County, Georgia, 31021, United States
DUBLIN, GA 310212500
Phone: (478) 272-1366
Fax: (478) 277-1251
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $211.
Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($121).
Total Amount
$211
General + Research + Ownership
Payments
2
Total payment records
General Amount
$211
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $121 |
| ABBVIE INC. | $91 |
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: 2022-11-01
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
2
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 |
|---|---|---|---|---|
| I20160823000856 | I | Nurse Practitioner | GA | TBD |
| I20221101002556 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | 228 | 33 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 81 | 22 | $0 |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 27 | 27 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 19 | 12 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 17 | 12 | $0 |
Insurance plans in this area (ZIP 32097)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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