MRS. CRYSTAL NICOSIA (FNP) – Family Nurse Practitioner, NPI 1154747970
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for MRS. CRYSTAL NICOSIA (FNP)
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
5702 E CENTRAL TEXAS EXPY
KILLEEN, TX 765435500
Phone: (254) 680-7350
Type: Location
390 LIMIT ST
LEAVENWORTH, KS 660484525
Phone: (913) 651-2323
Type: Mailing
307 EGG HARBOR RD
SEWELL, NJ 080801850
Phone: (866) 389-2727
Type: Mailing
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: 2025-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
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 |
|---|---|---|---|---|
| I20140604001682 | I | Nurse Practitioner | GA | TBD |
| I20190415002475 | I | Nurse Practitioner | KS | TBD |
| I20250428001926 | I | Nurse Practitioner | WI | TBD |
| I20250428002297 | I | Nurse Practitioner | CT | TBD |
| I20250428003255 | I | Nurse Practitioner | VA | TBD |
| I20250501000155 | I | Nurse Practitioner | DC | TBD |
| I20250521000300 | I | Nurse Practitioner | NC | TBD |
| I20250523002114 | I | Nurse Practitioner | PA | TBD |
| I20250523002405 | I | Nurse Practitioner | NJ | TBD |
| I20251016002020 | I | Nurse Practitioner | SC | TBD |
| I20251024000305 | I | Nurse Practitioner | NY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 91 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 85 | 73 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 66 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 | 11 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | PA |
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