CRYSTAL PAWULA (APRN) – Gerontology Nurse Practitioner, NPI 1184092546

CRYSTAL PAWULA (APRN) is a healthcare provider. based in Atlanta, Georgia. specializing in Gerontology Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. APRN9440414 (FL). The NPI Number for CRYSTAL PAWULA (APRN) is 1184092546

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL PAWULA (APRN)
NPI
1184092546
Phone
(239) 274-8200
Address
PO BOX 102222
Enumeration Date
2 September 2015
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
2769791540
Group Practice PAC ID
7911949466
Professional Enrollment ID
I20170322001782

Contacts

Secure Messaging
crystal.pawula.1@4692.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness95
Years active:10State licenses:1Other names

Provider Addresses for CRYSTAL PAWULA (APRN)

  • PO BOX 102222

    ATLANTA, GA 303682222

    Phone: (239) 274-8200

    Type: Mailing

  • 5500 PINEBROOK RD STE 202

    NORTH VENICE, FL 342753678

    Phone: (941) 408-0500

    Fax: (941) 496-8558

    Type: Location

  • 600 NOKOMIS AVE S STE 102&203

    VENICE, FL 342853209

    Phone: (941) 486-6979

    Fax: (941) 486-6964

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $2,360.

Total Amount is formed as General ($2,360) + Research ($0) + Ownership ($0) = $2,360.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Abbott Laboratories ($371).

Total Amount

$2,360

General + Research + Ownership

Payments

55

Total payment records

General Amount

$2,360

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2017-03-22

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
I20170322001782INurse 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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report5655$0
99214Established patient office or other outpatient visit, 30-39 minutes2828$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2323$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 30368)

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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: 7911949466View full group profile
NameSpecialtyState
-WI
-FL
Cardiovascular Disease (Cardiology)FL
Neurology, NeuropsychiatryFL
-FL
P O D I A T R YFL
Nurse PractitionerTN
Internal MedicineFL
Family PracticeFL
Internal MedicineFL

Reviews

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Frequently asked questions

What is the standard ID for CRYSTAL PAWULA (APRN) in the U.S.?
In the U.S., CRYSTAL PAWULA (APRN) is identified by NPI 1184092546.
Is CRYSTAL PAWULA (APRN) currently accepting referrals based on NPI status?
Registry metadata lists CRYSTAL PAWULA (APRN) as active.
What type of care does CRYSTAL PAWULA (APRN) provide?
CRYSTAL PAWULA (APRN)'s profile centers on Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to CRYSTAL PAWULA (APRN)?
CRYSTAL PAWULA (APRN) shows a connection to Atlanta, Georgia in registry-derived data.
Why is information missing for CRYSTAL PAWULA (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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