CRYSTAL RYDER (PA-C) – Physician Assistant, NPI 1417108481
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for CRYSTAL RYDER (PA-C)
8965 Elati Ct
Las Vegas, NV 891485391
Phone: (845) 807-1013
Type: Location
1181 Grier Dr Ste C
Las Vegas, NV 891193746
Phone: (888) 888-9930
Type: Location
96 BURR RD
COCHECTON, NY 127265100
Phone: (845) 807-2009
Type: Mailing
111 MALTESE DR
MIDDLETOWN MEDICAL, P.C.
MIDDLETOWN, NY 109402115
Phone: (845) 342-4774
Type: Location
8965 ELATI CT
LAS VEGAS, NV 891485391
Phone: (845) 807-1013
Type: Mailing
2269 N GREEN VALLEY PKWY
HENDERSON, NV 890145025
Phone: (702) 855-0500
Type: Location
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: 2019-03-26
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 |
|---|---|---|---|---|
| I20171031002178 | I | Physician Assistant | HI | TBD |
| I20190326000577 | I | Physician Assistant | NV | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 74 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 65 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 55 | 55 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 27 | 27 | $0 |
| 71046 | X-ray of chest, 2 views | 19 | 18 | $0 |
Insurance plans in this area (ZIP 89148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Physician Assistant | WA | |
| Nurse Practitioner | NV | |
| Family Practice | TN | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV |
Reviews
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