Crystal Pennell, CNP - Medicare Nurse Practitioner in Port Huron, MI

Crystal Pennell, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Port Huron, Michigan. 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 Cardiology Assoc Of Port Huron and her current practice location is 1222 10th Ave, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 985-9681.

Crystal Pennell is licensed to practice in Michigan (license number 4704239482) 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 1154783470.

Contact Information

Crystal Pennell, CNP
1222 10th Ave,
Port Huron, MI 48060-3406
(810) 985-9681
(810) 985-5310

Map and Direction




Provider's Profile

Full NameCrystal Pennell
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1222 10th Ave, Port Huron, Michigan
Accepts Medicare AssignmentsYes. 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 Pennell graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1154783470
  • Provider Enumeration Date: 03/25/2016
  • Last Update Date: 09/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3577852839
  • Enrollment ID: I20160510001982

Medical Identifiers

Medical identifiers for Crystal Pennell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154783470NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4704239482 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Huron Medical CenterPort huron, MIHospital
Mclaren Port HuronPort huron, MIHospital
Mckenzie Health SystemSandusky, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cardiology Assoc Of Port Huron165834877610

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 Pennell allows following entities to bill medicare on her behalf.
Entity NameCardiology Assoc Of Port Huron
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033198593
PECOS PAC ID: 1658348776
Enrollment ID: O20040916000650

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 Pennell 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 Pennell, CNP
1222 10th Ave,
Port Huron, MI 48060-3406

Ph: (810) 985-9681
Crystal Pennell, CNP
1222 10th Ave,
Port Huron, MI 48060-3406

Ph: (810) 985-9681

Reviews and Comments


Nurse Practitioner Nurses in Port Huron, MI

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Amy Storey, NP
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Carol Lydia Wiediger, APRN
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Mrs. Sarah Colleen Ingles, ARNP
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Mrs. Elizabeth May Helmreich, ANP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060
Phone: 810-966-9556    Fax: 810-966-4898
Gudalia Fajardo,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060
Phone: 810-987-5252    Fax: 810-987-2120

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.