Individual provider Active NPI

Crystal Alicia Ramos, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1093554321
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223466 Issued in AZ
Practice address
11022 N 28TH Dr Ste 270
Phoenix, AZ 85029-5639
Phone
(623) 404-8505
NPI assigned
May 24, 2024
Last updated
May 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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 223466 AZ Primary

Addresses

Primary practice location

11022 N 28TH Dr Ste 270
Phoenix, AZ 85029-5639

Mailing address

7529 W Superior Ave
Phoenix, AZ 85043-1655
Phone (602) 317-7684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240624003369 AZ Practitioner - Nurse Practitioner 0941743595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Pain Consultants, PLLCGroup PAC ID 0143647255, 2 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

13090 N 94TH Dr
Suite 212
Peoria, AZ 85381-4258
Phone (833) 578-7246

25101 N Lake Pleasant Pkwy
Suite B 1340
Peoria, AZ 85383-1386
Phone (602) 610-6866

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wings of Hope Medical Services, LLC Nurse Practitioner CurrentSince May 11, 2024 Accepting new patients
Sonoran Pain Consultants, PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2905 W Warner Rd
Ste 19
Chandler, AZ 85224
Phone (480) 899-2101

13090 N 94th Dr
Ste 212
Peoria, AZ 85381
Phone (833) 578-7246

11022 N 28th Dr
Ste 270
Phoenix, AZ 85029
Phone (602) 971-0304

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1093554321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 W SUPERIOR AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431655",
            "telephone_number": "602-317-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 N 28TH DR STE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295639",
            "telephone_number": "623-404-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "CRYSTAL",
        "middle_name": "ALICIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "223466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.