CRYSTAL GANN (FNP) – Nurse Practitioner, NPI 1366037285
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for CRYSTAL GANN (FNP)
770 KAPIOLANI BLVD STE 705
HONOLULU, HI 968135241
Phone: (808) 597-8791
Type: Mailing
436 5th Ave
Kotzebue, AK 99752
Phone: (907) 442-3321
Type: Location
36 5TH AVE
KOTZEBUE, AK 99752
Phone: (505) 841-1234
Type: Mailing
436 5TH AVE
KOTZEBUE, AK 99752
Phone: (907) 442-3321
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $481.
Total Amount is formed as General ($481) + Research ($0) + Ownership ($0) = $481.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Boston Scientific Corporation ($481).
Total Amount
$481
General + Research + Ownership
Payments
19
Total payment records
General Amount
$481
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $481 |
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: 2025-08-01
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 |
|---|---|---|---|---|
| I20210830001055 | I | Nurse Practitioner | TX | TBD |
| I20250801004066 | I | Nurse Practitioner | HI | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 20 | 20 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 11 | 11 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 96813)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | HI | |
| Emergency Medicine | HI | |
| Emergency Medicine | HI | |
| Emergency Medicine | HI | |
| Emergency Medicine | MI | |
| Emergency Medicine | PA | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | PA | |
| Emergency Medicine | VA |
Reviews
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