NPIMap

Individual provider Active NPI

Crystal Stephens Anderson, APRN

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1063288025
Registry record updated Dec 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029820 Issued in FL
Practice address
2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442
Phone
(352) 329-1800
Fax
(352) 329-1810
NPI assigned
Nov 30, 2023
Last updated
Dec 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2023

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 APRN11029820 FL Primary

Addresses

Primary practice location

2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442

Mailing address

2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442
Phone (352) 329-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208000706 FL Practitioner - Nurse Practitioner 6002265659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrews Healthcare ConsultingGroup PAC ID 5092132761, 18 clinicians

Practice addresses (Care Compare)

103 SE 3Rd St
Trenton, FL 32693-3247

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029820FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews Healthcare Consulting Family CurrentSince Feb 1, 2025 Accepting new patients
House Call M.D.'S L.L.C. CurrentSince Oct 15, 2024 Accepting new patients
Wound Management Specialists, LLC CurrentSince Jan 19, 2026 Accepting new patients

Locations

2400 Maitland Center Pkwy
Ste 310
Maitland, FL 32751
Phone (352) 329-1800

103 SE 3rd St
Trenton, FL 32693
Phone (352) 577-5252

7284 SW State Road 26
Trenton, FL 32693
Phone (352) 463-1222

Organizations & group practices 3

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

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1063288025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "352-329-1800",
            "fax_number": "352-329-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "352-329-1800",
            "fax_number": "352-329-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CRYSTAL",
        "middle_name": "STEPHENS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.