CRYSTALYN MARCHESE (DNP, FNP) – Family Nurse Practitioner, NPI 1639785819

CRYSTALYN MARCHESE (DNP, FNP) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP. They hold a License No. 4704301942 (MI). The NPI Number for CRYSTALYN MARCHESE (DNP, FNP) is 1639785819

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTALYN MARCHESE (DNP, FNP)
NPI
1639785819
Phone
Not provided
Address
18010 INDIANA ST
Enumeration Date
22 September 2020
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4198916210
Graduation Year
2022 (4 years ago)
PAC ID
0840605911
Group Practice PAC ID
2365348190
Professional Enrollment ID
I20221209001087
Address ID
OH435371746MA660XXCIRX402

Contacts

Secure Messaging
ctucker@waynecounty.com
Secure Messaging
cmarchese257781@epicdirect.promedica.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for CRYSTALYN MARCHESE (DNP, FNP)

  • 18010 INDIANA ST

    DETROIT, MI 482212419

    Phone:

    Type: Mailing

  • 9021 JOSEPH CAMPAU ST

    HAMTRAMCK, MI 482123726

    Phone: (313) 871-1926

    Type: Location

  • 333 N SUMMIT ST FL 7

    TOLEDO, OH 436041531

    Phone:

    Type: Mailing

  • 1215 GRASSY LN

    ROSSFORD, OH 434601525

    Phone: (419) 661-9727

    Fax: (419) 661-9730

    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 $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Novo Nordisk Inc ($88).

Total Amount

$88

General + Research + Ownership

Payments

2

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$88
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: 2022-12-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210223001795INurse PractitionerMITBD
I20221209001087INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9155$0
99213Established patient office or other outpatient visit, 20-29 minutes6851$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5757$0
G0008Administration of influenza virus vaccine2423$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2120$0
View full utilization report →

Insurance plans in this area (ZIP 48221)

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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: 2365348190View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
-OH
Nurse PractitionerOH
-OH
Certified Registered Nurse Anesthetist (Crna)TX
-OH
-OH

Reviews

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Frequently asked questions

What is the standard ID for CRYSTALYN MARCHESE (DNP, FNP) in the U.S.?
In the U.S., CRYSTALYN MARCHESE (DNP, FNP) is identified by NPI 1639785819.
Should I treat CRYSTALYN MARCHESE (DNP, FNP) as an active provider?
Patients and plans typically see CRYSTALYN MARCHESE (DNP, FNP) as active in the national extract.
How should patients interpret CRYSTALYN MARCHESE (DNP, FNP)'s specialty?
The extract shows Family Nurse Practitioner for CRYSTALYN MARCHESE (DNP, FNP). Clinical services aligned with this taxonomy classification.
What geographic area is tied to CRYSTALYN MARCHESE (DNP, FNP)?
CRYSTALYN MARCHESE (DNP, FNP) is associated with Detroit, Michigan in the same public data insurers reference.
Why is information missing for CRYSTALYN MARCHESE (DNP, FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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