CRYSTAL NICOLE MANN (P.A.) – Physician Assistant, NPI 1114988854
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for CRYSTAL NICOLE MANN (P.A.)
5231 John Tyler Hwy
Williamsburg, VA 231852553
Phone: (757) 220-8300
Type: Location
7364 Richmond Rd
Williamsburg, VA 231887220
Phone: (757) 345-0011
Type: Location
120 Kings Way Ste 1400
Williamsburg, VA 231852508
Phone: (757) 345-2555
Fax: (757) 345-0366
Type: Location
Sutter Street, Little Saigon, Lower Nob Hill, South of Market, San Francisco, California, 94164, United States
SAN FRANCISCO, CA 941044009
Phone: (415) 658-6791
Fax: (415) 520-0904
Type: Mailing
Adams Mill Road Northwest, Washington, Washington, D.C., 20009, United States
WASHINGTON, DC 200091901
Phone: (202) 627-1903
Fax: (202) 660-0025
Type: Location
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: 2007-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050627001470 | I | Physician Assistant | DC | TBD |
| I20071023000503 | I | Physician Assistant | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23185)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| H O S P I T A L I S T | WV | |
| - | PA | |
| G A S T R O E N T E R O L O G Y | VA | |
| General Surgery | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA |
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