Individual provider Active NPI

Crystal Poungsangchaun, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1043859424
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143236 Issued in TX
Practice address
7407 Broadway
San Antonio, TX 78209-3221
Phone
(281) 783-8162
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143236 TX Primary

Addresses

Primary practice location

7407 Broadway
San Antonio, TX 78209-3221

Mailing address

5718 Westheimer Rd Ste 1800
Houston, TX 77057-5773

Other practice location 1

5718 Westheimer Rd
Houston, TX 77057-5745
Phone (281) 783-8162

Other practice location 2

850 Central Pkwy E Ste 275
Plano, TX 75074-5542
Phone (972) 881-4688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200511002830 TX Practitioner - Nurse Practitioner 7113358987 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians
Legacy Physiatry Group LLCGroup PAC ID 1759353519, 38 clinicians

Practice addresses (Care Compare)

19016 Stone Oak Pkwy
Suite 140
San Antonio, TX 78258-3281
Phone (877) 448-3627

7407 Broadway
San Antonio, TX 78209-3221
Phone (281) 783-8162

850 Central E Pkwy
Suite 275
Plano, TX 75074-5542
Phone (972) 881-4688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince Jun 1, 2024 Accepting new patients
Nluc PLLC CurrentSince Mar 11, 2024 Accepting new patients
Legacy Physiatry Group LLC CurrentSince Aug 8, 2025 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jun 1, 2024 Accepting new patients
Heart Care Center of Northwest Houston, PA CurrentSince Jul 1, 2020 Accepting new patients
Nluc PLLC Current Accepting new patients
St. Elizabeth Physician Group, PLLC CurrentSince May 4, 2020 Accepting new patients
Nluc PLLC CurrentSince Mar 11, 2024 Accepting new patients
CVS Pharmacy Inc PastSince May 1, 2022 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

901 McClintock Dr
Ste 201
Burr Ridge, IL 60527
Phone (630) 654-4201

2003 E Lamar Blvd
Ste 100
Arlington, TX 76006

12319 N Mopac Expy
Ste 210
Austin, TX 78758

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

7515 Greenville Ave
Ste 505
Dallas, TX 75231

676 FM 517 Rd W
Dickinson, TX 77539
Phone (713) 335-9571

13325 Hargrave Rd
Ste 150
Houston, TX 77070
Phone (281) 955-7863

5718 Westheimer Rd
Ste 1800
Houston, TX 77057

1009 S Broadway St
La Porte, TX 77571
Phone (281) 471-4202

850 Central Pkwy E
Ste 275
Plano, TX 75074

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

7407 Broadway
San Antonio, TX 78209
Phone (210) 824-4584

1150 N Loop 1604 W
Ste 150
San Antonio, TX 78248

19016 Stone Oak Pkwy
Ste 140
San Antonio, TX 78258
Phone (210) 494-9109

8111 Cypresswood Dr
Ste 106
Spring, TX 77379
Phone (281) 370-9331

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

14875 Southwest Fwy
Sugar Land, TX 77478

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEJIAA

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1043859424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 WESTHEIMER RD STE 1800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575773",
            "fax_number": "281-895-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7407 BROADWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093221",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5718 Westheimer Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770575745",
            "country_code": "US",
            "telephone_number": "281-783-8162",
            "fax_number": "281-895-3083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Central Pkwy E Ste 275",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750745542",
            "country_code": "US",
            "telephone_number": "972-881-4688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POUNGSANGCHAUN",
        "first_name": "CRYSTAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.