CRYSTAL POUNGSANGCHAUN (FNP) – Family Nurse Practitioner, NPI 1043859424
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for CRYSTAL POUNGSANGCHAUN (FNP)
5718 Westheimer Rd
Houston, TX 770575745
Phone: (281) 783-8162
Fax: (281) 895-3083
Type: Location
1003 RICHMOND AVE
HOUSTON, TX 770065419
Phone: (866) 389-2727
Fax: (401) 216-2854
Type: Mailing
12627 SUMMERWOOD GLN
HOUSTON, TX 770417234
Phone: (832) 659-8977
Type: Mailing
2900 Broadway St
Pearland, TX 775814507
Phone: (866) 389-2727
Fax: (401) 216-2854
Type: Location
5201 Highway 6 # 595
Missouri City, TX 774594379
Phone: (281) 766-5480
Type: Location
7407 Broadway
San Antonio, TX 782093221
Phone: (281) 783-8162
Type: Location
850 Central Pkwy E Ste 275
Plano, TX 750745542
Phone: (972) 881-4688
Type: Location
2900 BROADWAY ST # 5877
PEARLAND, TX 775814507
Phone: (281) 997-4400
Type: Mailing
5718 WESTHEIMER RD STE 1800
HOUSTON, TX 770575773
Phone:
Fax: (281) 895-3083
Type: Mailing
7407 BROADWAY
SAN ANTONIO, TX 782093221
Phone: (281) 783-8162
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $239.
Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.
Last reported payment date: 2023-09-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($239).
Total Amount
$239
General + Research + Ownership
Payments
3
Total payment records
General Amount
$239
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $239 |
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: 2020-05-11
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 |
|---|---|---|---|---|
| I20200511002830 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 13 | 13 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | 11 | $0 |
Insurance plans in this area (ZIP 77057)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | TX |
Reviews
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