Mrs Crystal Johanna Ward, NP in Santa Rosa, CA

Mrs Crystal Johanna Ward, NP is a medicare enrolled "Nurse Practitioner - Family" in Santa Rosa, California. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Velocity Urgent Care Llc, Ivyrehab Sept, Llc, Sentara Medical Group and her current practice location is 2350 Mendocino Ave, Ste A4, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 595-2685.

Mrs Crystal Johanna Ward is licensed to practice in Virginia (license number 0024183153) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1982161337.

Contact Information

	Mrs Crystal Johanna Ward, NP
	2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403
	(707) 595-2685
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Crystal Johanna Ward
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2350 Mendocino Ave, Santa Rosa, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Crystal Johanna Ward graduated from nursing school in 2019

NPI Data:

NPI Number: 1982161337
Provider Enumeration Date: 02/21/2019
Last Update Date: 12/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9234469396
Enrollment ID: I20230310001218

Medical Identifiers

Medical identifiers for Mrs Crystal Johanna Ward such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982161337	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011971 (California)	Secondary
163W00000X	Registered Nurse	95091676 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	0024183153 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sentara Obici Hospital	Suffolk, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Velocity Urgent Care Llc	7618234980	46
Ivyrehab Sept, Llc	7911990908	1173
Sentara Medical Group	8921903923	1091

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. Mrs Crystal Johanna Ward allows following entities to bill medicare on her behalf.

Entity Name	Sentara Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466

Entity Name	Velocity Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205350584 PECOS PAC ID: 7618234980 Enrollment ID: O20171122001472

Entity Name	Mrs Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396443784 PECOS PAC ID: 1153789920 Enrollment ID: O20230627001020

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. Mrs Crystal Johanna Ward 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
Mrs Crystal Johanna Ward, NP 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 595-2685	Mrs Crystal Johanna Ward, NP 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 Ph: (707) 595-2685

Reviews and Comments

Nurse Practitioner Nurses in Santa Rosa, CA

Peggy Walsh Goebel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404 Phone: 707-585-7780 Fax: 707-585-7784
Julie Barlow, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207
Suzanne Watts Dedmore, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600
Amada Ligia Gomez, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404 Phone: 786-385-4492
Genesis Callejas-mir, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445
Felipa Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404 Phone: 707-570-1130 Fax: 707-571-2478
Cynthia R. Ingels, MSN,N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Doyle Park Dr, Suite 103, Santa Rosa, CA 95405 Phone: 707-579-1102

Mrs Crystal Johanna Ward, NP - Medicare Nurse Practitioner in Santa Rosa, CA