CRYSTAL J STURGIS (PA C) – Physician Assistant, NPI 1912993247
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
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Provider Addresses for CRYSTAL J STURGIS (PA C)
Mitchell F. Lundgaard Post Office, Sherman Place, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549128029
Phone: (920) 996-3225
Type: Mailing
820, East Grant Street, Erb Park, Huntley Houses, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549113483
Phone: (920) 831-5050
Type: Location
820 E Grant St
Appleton, WI 549113483
Phone: (920) 831-5050
Type: Location
3 NEENAH CTR
NEENAH, WI 549563070
Phone: (920) 831-5050
Type: Mailing
2400 E CAPITOL DR
APPLETON, WI 549118728
Phone: (920) 831-5050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $204.
Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.
Last reported payment date: 2023-04-11 • Largest payer in this snapshot: Davol Inc. ($109).
Total Amount
$204
General + Research + Ownership
Payments
2
Total payment records
General Amount
$204
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $109 |
| Alexion Pharmaceuticals, Inc. | $95 |
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: 2005-12-27
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 |
|---|---|---|---|---|
| I20051227000222 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| 73030 | X-ray of shoulder, minimum of 2 views | 11 | 11 | $0 |
Insurance plans in this area (ZIP 54912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Family Practice | WI | |
| - | FL | |
| Hospitalist, Internal Medicine | MI | |
| P S Y C H I A T R Y | WI | |
| - | WI | |
| - | WA | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI |
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