CRYSTELLE WIONA CANUTO (NP-C) – Family Nurse Practitioner, NPI 1063076313

CRYSTELLE WIONA CANUTO (NP-C) is a healthcare provider. based in Columbia, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 2019013218 (MO). The NPI Number for CRYSTELLE WIONA CANUTO (NP-C) is 1063076313

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTELLE WIONA CANUTO (NP-C)
NPI
1063076313
Phone
(573) 815-8000
Address
1600 E BROADWAY
Enumeration Date
23 April 2019
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738158000
Graduation Year
2019 (7 years ago)
PAC ID
9234465683
Group Practice PAC ID
6507090644
Professional Enrollment ID
I20190724000138
Address ID
MO652015844CO1600XBROA300

Contacts

Main Contact
https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for CRYSTELLE WIONA CANUTO (NP-C)

  • Boone Hospital Center, 1600, East Broadway, Strollway, Columbia, Boone County, Missouri, 65201, United States

    COLUMBIA, MO 652015844

    Phone: (573) 815-8000

    Type: Location

  • PO BOX 104240

    JEFFERSON CITY, MO 651104240

    Phone: (573) 635-5264

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 189 Open Payments records for all available years, with a total value of $3,851.

Total Amount is formed as General ($3,851) + Research ($0) + Ownership ($0) = $3,851.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: ABBVIE INC. ($788).

Total Amount

$3,851

General + Research + Ownership

Payments

189

Total payment records

General Amount

$3,851

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

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: 2019-07-24

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
I20190724000138INurse PractitionerMOTBD

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
J0585Injection, onabotulinumtoxina, 1 unit3,50213$0
99215Established patient office or other outpatient visit, 40-54 minutes341269$0
99214Established patient office or other outpatient visit, 30-39 minutes243207$0
99205New patient office or other outpatient visit, 60-74 minutes9999$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count6858$0
View full utilization report →

Insurance plans in this area (ZIP 65201)

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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: 6507090644View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Hospitalist, Internal MedicineMO
Physical Therapist In Private PracticeMO
-WI
Infectious Disease, Hospitalist, Internal MedicineNM
Internal Medicine, HospitalistMO
-MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the standard ID for CRYSTELLE WIONA CANUTO (NP-C) in the U.S.?
In the U.S., CRYSTELLE WIONA CANUTO (NP-C) is identified by NPI 1063076313.
Is CRYSTELLE WIONA CANUTO (NP-C) currently accepting referrals based on NPI status?
Registry metadata lists CRYSTELLE WIONA CANUTO (NP-C) as active.
Which specialty label fits CRYSTELLE WIONA CANUTO (NP-C)?
NPPES ties CRYSTELLE WIONA CANUTO (NP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CRYSTELLE WIONA CANUTO (NP-C)?
CRYSTELLE WIONA CANUTO (NP-C) is associated with Columbia, Missouri in the same public data insurers reference.
Who maintains CRYSTELLE WIONA CANUTO (NP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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