CRYSTAL CASSIMERE – Case Manager/Care Coordinator, NPI 1760909329
Case Manager/Care Coordinator
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for CRYSTAL CASSIMERE
7541 S MINGO RD APT 9215
TULSA, OK 741333392
Phone: (409) 350-2634
Type: Mailing
1055, South Houston Avenue, Riverview, Tulsa, Tulsa County, Oklahoma, 74127, United States
TULSA, OK 741279043
Phone: (918) 560-1399
Type: Location
3016 CROCKETT ST APT 527
FORT WORTH, TX 761077938
Phone: (409) 350-2634
Type: Mailing
5323 HARRY HINES BLVD
DALLAS, TX 753909043
Phone: (214) 648-3111
Type: Location
2015 UPPERGATE DR. ATLANTA
ATLANTA, GA 30307
Phone:
Type: Mailing
12 EXECUTIVE PARK DR NE
ATLANTA, GA 303292206
Phone: (404) 727-4018
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: 2026-01-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260106002301 | I | Family Practice | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | VA | |
| - | IN | |
| A N E S T H E S I O L O G Y | IN | |
| - | TN | |
| - | NM | |
| - | WI | |
| Physician Assistant | PA | |
| - | OH | |
| Physician Assistant | NV |
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