KYLA CRISPE (PA-C) – Medical Physician Assistant, NPI 1740736099
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for KYLA CRISPE (PA-C)
East Broad Street, Mansfield, Tarrant County, Texas, 76063, United States
STE #124
MANSFIELD, TX 760636414
Phone: (817) 539-0959
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 268 Open Payments records for all available years, with a total value of $6,135.
Total Amount is formed as General ($6,135) + Research ($0) + Ownership ($0) = $6,135.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($1,027).
Total Amount
$6,135
General + Research + Ownership
Payments
268
Total payment records
General Amount
$6,135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,027 |
| Novartis Pharmaceuticals Corporation | $972 |
| E.R. Squibb & Sons, L.L.C. | $756 |
| GENZYME CORPORATION | $509 |
| Janssen Biotech, Inc. | $305 |
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: 2016-10-04
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 |
|---|---|---|---|---|
| I20161004002477 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,839 | 306 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 610 | 463 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 573 | 425 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 514 | 396 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 338 | 280 | $0 |
Insurance plans in this area (ZIP 76063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
Reviews
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