Crystal Gail Reneau, APRN-CNP - Medicare Nurse Practitioner in Broken Arrow, OK

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Crystal Gail Reneau, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Broken Arrow, Oklahoma. Her current practice location is 1129 S Aspen Ave, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (539) 367-1253.

Crystal Gail Reneau is licensed to practice in Oklahoma (license number 215764) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639942105.

Contact Information

Crystal Gail Reneau, APRN-CNP
1129 S Aspen Ave,
Broken Arrow, OK 74012-4859
(539) 367-1253
(539) 367-3311

Map and Direction




Provider's Profile

Full NameCrystal Gail Reneau
GenderFemale
SpecialityNurse Practitioner - Family
Location1129 S Aspen Ave, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639942105
  • Provider Enumeration Date: 11/06/2023
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406205350
  • Enrollment ID: I20231218002249

Medical Identifiers

Medical identifiers for Crystal Gail Reneau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639942105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 215764 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crystal Gail Reneau allows following entities to bill medicare on her behalf.
Entity NameBroken Arrow Pain Specialist, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104549427
PECOS PAC ID: 2860861390
Enrollment ID: O20230810001442

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Gail Reneau is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal Gail Reneau, APRN-CNP
Po Box 281,
Peggs, OK 74452-0281

Ph: (918) 708-5083		Crystal Gail Reneau, APRN-CNP
1129 S Aspen Ave,
Broken Arrow, OK 74012-4859

Ph: (539) 367-1253

Reviews and Comments


Nurse Practitioner Nurses in Broken Arrow, OK

Carmen Kay Oakes, ARNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3300 S Aspen Ave Ste C, Broken Arrow, OK 74012
Phone: 918-237-9627    
Makeda Gant,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1129 S Aspen Ave, Broken Arrow, OK 74012
Phone: 918-764-9300    Fax: 918-764-9275
Mrs. Kristi Gene Sager, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4623 W Kenosha St, Broken Arrow, OK 74012
Phone: 918-693-0834    
Ms. Kyndal Renee' Stevens, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012
Phone: 918-455-0414    
Ms. Mary Constance Starr, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 818 S Aspen Ave, Broken Arrow, OK 74012
Phone: 918-258-2952    
Ms. Jamie Larie Kitchens, DNP, APRN, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012
Phone: 918-455-4541    Fax: 918-455-0414
Mrs. Christina Lou Martin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1551 N 9th St, Broken Arrow, OK 74012
Phone: 918-355-7900    Fax: 918-355-7929

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.