Crystal Lise Souza, FNP-C in Warwick, RI - Medicare Nurse Practitioner

Crystal Lise Souza, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Warwick, Rhode Island. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Thundermist Health Center, The William W Backus Hospital and her current practice location is 300 Centerville Rd Ste 110, Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 615-2299.

Crystal Lise Souza is licensed to practice in Rhode Island (license number APRN00778) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467826693.

Contact Information

	Crystal Lise Souza, FNP-C
	300 Centerville Rd Ste 110, Warwick, RI 02886
	(401) 615-2299
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal Lise Souza
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	300 Centerville Rd Ste 110, Warwick, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crystal Lise Souza graduated from nursing school in 2015

NPI Data:

NPI Number: 1467826693
Provider Enumeration Date: 11/27/2015
Last Update Date: 06/11/2024

Medicare PECOS Information:

PECOS PAC ID: 2668776766
Enrollment ID: I20160210001953

Medical Identifiers

Medical identifiers for Crystal Lise Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467826693	NPI	-	NPPES
1467826693	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10730 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN00778 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The Miriam Hospital	Providence, RI	Hospital
William W Backus Hospital	Norwich, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thundermist Health Center	1557270477	148
The William W Backus Hospital	0749170645	175

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 Lise Souza allows following entities to bill medicare on her behalf.

Entity Name	Thundermist Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700041001 PECOS PAC ID: 1557270477 Enrollment ID: O20040211000909

Entity Name	Prospect Chartercare Sjhsri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928

Entity Name	Minuteclinic Diagnostic Of Rhode Island Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649511841 PECOS PAC ID: 8224350863 Enrollment ID: O20141209002236

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 Lise Souza 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 Address	Practice Location Address
Crystal Lise Souza, FNP-C 10 Davol Sq Ste 400, Providence, RI 02903-4760 Ph: (401) 421-4000	Crystal Lise Souza, FNP-C 300 Centerville Rd Ste 110, Warwick, RI 02886 Ph: (401) 615-2299

Reviews and Comments

Nurse Practitioner Nurses in Warwick, RI

Mrs. Jennifer Jennings, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 Fax: 401-736-1972
Sabrina O'donnell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7000
Amber Depaola, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 176 Toll Gate Rd Ste 103, Warwick, RI 02886 Phone: 401-921-5855
Jessica A Devine, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 171 Service Ave, Bldg 2, Floor 1, Warwick, RI 02886 Phone: 401-430-2000 Fax: 401-453-7597
Elena Pavlik Lvov, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3520 Post Rd, Warwick, RI 02886 Phone: 401-921-5800 Fax: 401-921-5826
Mr. Peter J Reilly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Bald Hill Rd, Suite 526, Warwick, RI 02886 Phone: 401-738-4323 Fax: 401-738-3857
Olajumoke Adetunji, DNP APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 Kilvert St, Warwick, RI 02886 Phone: 401-737-6900

Crystal Lise Souza, FNP-C - Medicare Nurse Practitioner in Warwick, RI