CRYSTAL NICHOLE JORDAN (APRN, FNP-BC) – Nurse Practitioner, NPI 1902437023

CRYSTAL NICHOLE JORDAN (APRN, FNP-BC) is a healthcare provider. based in Tampa, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-BC. They hold a License No. APRN11005773 (FL). The NPI Number for CRYSTAL NICHOLE JORDAN (APRN, FNP-BC) is 1902437023

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL NICHOLE JORDAN (APRN, FNP-BC)
NPI
1902437023
Phone
(727) 686-1402
Address
5662 TRANQUILITY OAKS DR UNIT 204
Enumeration Date
28 January 2020
Last Update Date
5 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138447000
Graduation Year
2019 (7 years ago)
PAC ID
5092131797
Group Practice PAC ID
7416208434
Professional Enrollment ID
I20200812001010
Address ID
FL336063571TA1XXXXCIRX400

Contacts

Secure Messaging
ccohee@tgh.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for CRYSTAL NICHOLE JORDAN (APRN, FNP-BC)

  • 5662 TRANQUILITY OAKS DR UNIT 204

    TAMPA, FL 336245846

    Phone: (727) 686-1402

    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)

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: 2020-08-12

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
I20200812001010INurse PractitionerFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes248170$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes108104$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3325$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 33624)

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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: 7416208434View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
-FL
Nurse PractitionerFL
A N E S T H E S I O L O G YFL
Physician AssistantFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
A N E S T H E S I O L O G YVA

Reviews

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Frequently asked questions

What is CRYSTAL NICHOLE JORDAN (APRN, FNP-BC)'s NPI number?
CRYSTAL NICHOLE JORDAN (APRN, FNP-BC)'s NPI is 1902437023 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to CRYSTAL NICHOLE JORDAN (APRN, FNP-BC)?
You should see CRYSTAL NICHOLE JORDAN (APRN, FNP-BC) as active in CMS-hosted NPPES data.
What expertise is attributed to CRYSTAL NICHOLE JORDAN (APRN, FNP-BC)?
CRYSTAL NICHOLE JORDAN (APRN, FNP-BC)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CRYSTAL NICHOLE JORDAN (APRN, FNP-BC) located near Tampa?
CRYSTAL NICHOLE JORDAN (APRN, FNP-BC) currently maps to Tampa, Florida in this extract.
When was this NPI issued?
Enumeration for CRYSTAL NICHOLE JORDAN (APRN, FNP-BC) is noted as January 28, 2020 where the registry provides it.

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