KRYSTAL GREESON – Family Nurse Practitioner, NPI 1164876645

KRYSTAL GREESON is a healthcare provider. based in Cottonwood heights, Utah. specializing in Family Nurse Practitioner. They hold a License No. 144466 (AZ). The NPI Number for KRYSTAL GREESON is 1164876645

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL GREESON
NPI
1164876645
Phone
(888) 731-8994
Address
6975 S Union Park Ctr Ste 600
Enumeration Date
20 April 2016
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6025281200
Graduation Year
2016 (10 years ago)
PAC ID
0345536884
Group Practice PAC ID
0648174185
Professional Enrollment ID
I20180829001844
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:10State licenses:6Digital endpointsOther names

Provider Addresses for KRYSTAL GREESON

  • 6975 S Union Park Ctr Ste 600

    Cottonwood Heights, UT 840474187

    Phone: (888) 731-8994

    Type: Location

  • 999 18th St Ste 3000

    Denver, CO 802022449

    Phone: (888) 731-8994

    Type: Location

  • 400 S 4th St Ste 500

    Las Vegas, NV 891016207

    Phone: (888) 731-8994

    Type: Location

  • 801 E Douglas Ave Fl 2

    Wichita, KS 672023548

    Phone: (888) 731-8994

    Type: Location

  • West Thomas Road, Phoenix, Maricopa County, Arizona, 85002, United States

    PHOENIX, AZ 850335700

    Phone: (602) 243-7277

    Type: Location

  • 4254 W ORCHID LN

    CHANDLER, AZ 852267246

    Phone: (888) 731-8994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2023-10-28 • Largest payer in this snapshot: VIVUS LLC ($97).

Total Amount

$97

General + Research + Ownership

Payments

1

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
VIVUS LLC$97
View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-29

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180829001844INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9143$0
99213Established patient office or other outpatient visit, 20-29 minutes4631$0
99212Established patient office or other outpatient visit, 10-19 minutes2720$0
99442Telephone medical discussion with physician, 11-20 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 84047)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648174185View full group profile
NameSpecialtyState
-AZ
P O D I A T R YAZ
-AZ
Family PracticeAZ
Emergency MedicineAZ
-AZ
-AZ
P O D I A T R YAZ
Registered Dietitian Or Nutrition ProfessionalAZ
Internal Medicine, Pediatric MedicineAZ

Reviews

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Frequently asked questions

What identifier follows KRYSTAL GREESON across health systems?
The NPI 1164876645 uniquely identifies KRYSTAL GREESON in U.S. healthcare data.
Should I treat KRYSTAL GREESON as an active provider?
Patients and plans typically see KRYSTAL GREESON as active in the national extract.
What type of care does KRYSTAL GREESON provide?
KRYSTAL GREESON's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KRYSTAL GREESON tied to Cottonwood Heights, Utah?
If you are local to Cottonwood Heights, Utah, KRYSTAL GREESON may be relevant to your search.
Can I export KRYSTAL GREESON's record?
You can download the official NPPES record; we summarize key fields for readability.

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