CRYSTAL R MEAD (PA) – Physician Assistant, NPI 1497861306

CRYSTAL R MEAD (PA) is a healthcare provider. based in Edgewater, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9102163 (FL). The NPI Number for CRYSTAL R MEAD (PA) is 1497861306

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL R MEAD (PA)
NPI
1497861306
Phone
(386) 427-4544
Address
109 W KNAPP AVENUE
Enumeration Date
22 August 2006
Last Update Date
29 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864274544
Graduation Year
2002 (24 years ago)
PAC ID
1759378771
Group Practice PAC ID
5597731380
Professional Enrollment ID
I20040429001234
Address ID
FL327247700DE141XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for CRYSTAL R MEAD (PA)

  • 109, West Knapp Avenue, Edgewater, Volusia County, Florida, 32132, United States

    EDGEWATER, FL 32132

    Phone: (386) 427-4544

    Fax: (386) 427-8688

    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 56 Open Payments records for all available years, with a total value of $1,245.

Total Amount is formed as General ($1,245) + Research ($0) + Ownership ($0) = $1,245.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Abbott Laboratories ($338).

Total Amount

$1,245

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2004-04-29

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
I20040429001234IPhysician AssistantFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32132)

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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: 5597731380View full group profile
NameSpecialtyState
Family PracticeFL
-FL
Nurse PractitionerFL
Endocrinology, Internal MedicineFL
-FL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What identifier follows CRYSTAL R MEAD (PA) across health systems?
The NPI 1497861306 uniquely identifies CRYSTAL R MEAD (PA) in U.S. healthcare data.
Should I treat CRYSTAL R MEAD (PA) as an active provider?
Patients and plans typically see CRYSTAL R MEAD (PA) as active in the national extract.
What services align with CRYSTAL R MEAD (PA)'s listing?
CRYSTAL R MEAD (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to CRYSTAL R MEAD (PA)?
CRYSTAL R MEAD (PA) shows a connection to Edgewater, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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