DR. CRYSTAL MILLER PROUD (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1013159177

DR. CRYSTAL MILLER PROUD (M.D.) is a healthcare provider. based in Norfolk, Virginia. specializing in NEUROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. A117087 (CA). The NPI Number for DR. CRYSTAL MILLER PROUD (M.D.) is 1013159177

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. CRYSTAL MILLER PROUD (M.D.)
NPI
1013159177
Phone
Not provided
Address
850 SOUTHAMPTON AVE
Enumeration Date
3 April 2009
Last Update Date
19 October 2015

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7576687007
Graduation Year
2009 (17 years ago)
PAC ID
6103130828
Group Practice PAC ID
5890788764
Professional Enrollment ID
I20150807014908
Address ID
VA235101021NO850XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

709 NEUROLOGY in VA

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Provider Addresses for DR. CRYSTAL MILLER PROUD (M.D.)

  • 850, Southampton Avenue, Norfolk, Virginia, 23510, United States

    NORFOLK, VA 235101021

    Phone:

    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 337 Open Payments records for all available years, with a total value of $421,447.

Total Amount is formed as General ($414,302) + Research ($7,145) + Ownership ($0) = $421,447.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Sarepta Therapeutics, Inc. ($311,985).

Total Amount

$421,447

General + Research + Ownership

Payments

337

Total payment records

General Amount

$414,302

General payments

Research Amount

$7,145

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-08-07

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
I20150807014908IPediatric MedicineVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23510)

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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: 5890788764View full group profile
NameSpecialtyState
-VA
Pediatric Medicine, Hematology/OncologyMD
-VA
Physician AssistantVA
-VA
Pediatric Medicine, Hematology/OncologyVA
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)VA
Emergency Medicine, Pediatric MedicineVA
Pediatric Medicine, Cardiovascular Disease (Cardiology)VA
-MD

Reviews

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Frequently asked questions

Can I cross-check DR. CRYSTAL MILLER PROUD (M.D.) using NPI 1013159177?
NPI 1013159177 belongs to DR. CRYSTAL MILLER PROUD (M.D.); compare other details if you need extra assurance.
Is DR. CRYSTAL MILLER PROUD (M.D.) still an active registrant?
DR. CRYSTAL MILLER PROUD (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. CRYSTAL MILLER PROUD (M.D.)'s focus?
For DR. CRYSTAL MILLER PROUD (M.D.), the primary taxonomy reads as Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
Is DR. CRYSTAL MILLER PROUD (M.D.) located near Norfolk?
DR. CRYSTAL MILLER PROUD (M.D.) currently maps to Norfolk, Virginia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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