DR. CRYSTAL MARIE BROUSSARD (AU.D.) – Audiologist, NPI 1770763559

DR. CRYSTAL MARIE BROUSSARD (AU.D.) is a healthcare provider. based in North fort myers, Florida. specializing in Audiologist. They hold the professional credentials AU.D.. They hold a License No. AY1198 (FL). The NPI Number for DR. CRYSTAL MARIE BROUSSARD (AU.D.) is 1770763559

Main info

Female
Sole Proprietor
Name
DR. CRYSTAL MARIE BROUSSARD (AU.D.)
NPI
1770763559
Phone
(239) 997-8288
Address
16251 N CLEVELAND AVE STE 8
Enumeration Date
8 November 2007
Last Update Date
15 February 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for DR. CRYSTAL MARIE BROUSSARD (AU.D.)

  • North Cleveland Avenue, Fort Myers, Lee County, Florida, 33901, United States

    NORTH FORT MYERS, FL 339032176

    Phone: (239) 997-8288

    Fax: (239) 997-8084

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2013-02-21

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
I20130221000534IQualified AudiologistFLTBD

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
92557Comprehensive hearing and speech recognition test4847$0
92550Test for eardrum and muscle function4343$0
92588Placement of ear probe for computerized measurement of repeated sounds with interpretation and report4141$0
View full utilization report →

Insurance plans in this area (ZIP 33903)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DR. CRYSTAL MARIE BROUSSARD (AU.D.)'s NPI number?
DR. CRYSTAL MARIE BROUSSARD (AU.D.)'s NPI is 1770763559 — the number used across U.S. healthcare to identify this provider.
Is DR. CRYSTAL MARIE BROUSSARD (AU.D.) still an active registrant?
DR. CRYSTAL MARIE BROUSSARD (AU.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. CRYSTAL MARIE BROUSSARD (AU.D.)?
DR. CRYSTAL MARIE BROUSSARD (AU.D.)'s record emphasizes Audiologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CRYSTAL MARIE BROUSSARD (AU.D.)?
Directory geography for DR. CRYSTAL MARIE BROUSSARD (AU.D.) centers on North Fort Myers, Florida.
When was this NPI issued?
Enumeration for DR. CRYSTAL MARIE BROUSSARD (AU.D.) is noted as November 8, 2007 where the registry provides it.

Similar Providers

19451 MEREDITH RD
NPI: 1215994611

KAREN L DAGER

Audiologist
3434 HANCOCK BRIDGE PKWY
NPI: 1558588665
2033 BARBADOS AVE
NPI: 1588859508
33, Barkley Circle, Fort Myers, Lee County, Florida, 33907, United States
NPI: 1891975462
400 8th St N
NPI: 1992019863
16251 N CLEVELAND AVE STE 8
NPI: 1982238127