Individual provider Active NPI

Crystal Nicosia, FNP

  • Family Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1154747970
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP032710 Issued in PA
Practice address
307 Egg Harbor Rd
Sewell, NJ 08080-1850
Phone
(866) 389-2727
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15320200 NJ
Family Nurse Practitioner 363LF0000X 0024192898 VA
Family Nurse Practitioner 363LF0000X 53-78595-112 KS
Family Nurse Practitioner 363LF0000X 122379 WV
Family Nurse Practitioner 363LF0000X 30174 SC
Family Nurse Practitioner 363LF0000X 202235 ND
Family Nurse Practitioner 363LF0000X 14498 CT
Family Nurse Practitioner 363LF0000X SP032710 PA Primary
Family Nurse Practitioner 363LF0000X RN203708 GA
Family Nurse Practitioner 363LF0000X 16604-33 WI
Family Nurse Practitioner 363LF0000X 357510 NY
Family Nurse Practitioner 363LF0000X 5022027 NC
Family Nurse Practitioner 363LF0000X CP003605 SD

Addresses

Primary practice location

307 Egg Harbor Rd
Sewell, NJ 08080-1850

Mailing address

307 Egg Harbor Rd
Sewell, NJ 08080-1850
Phone (877) 993-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KS, WI, CT, VA, DC, NC, PA, NJ, SC, NY11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20140604001682 GA Practitioner - Nurse Practitioner 7113141516 Reassigns benefits to 2 organizations
I20190415002475 KS Practitioner - Nurse Practitioner 7113141516 Reassigns benefits to 1 organization
I20250428001926 WI Practitioner - Nurse Practitioner 7113141516 Reassigns benefits to 2 organizations
I20250428002297 CT Practitioner - Nurse Practitioner 7113141516
I20250428003255 VA Practitioner - Nurse Practitioner 7113141516 Reassigns benefits to 1 organization
I20250501000155 DC Practitioner - Nurse Practitioner 7113141516 Reassigns benefits to 1 organization
I20250521000300 NC Practitioner - Nurse Practitioner 7113141516 Reassigns benefits to 1 organization
I20250523002114 PA Practitioner - Nurse Practitioner 7113141516 Reassigns benefits to 2 organizations
I20250523002405 NJ Practitioner - Nurse Practitioner 7113141516 Reassigns benefits to 1 organization
I20251016002020 SC Practitioner - Nurse Practitioner 7113141516 Reassigns benefits to 2 organizations
I20251024000305 NY Practitioner - Nurse Practitioner 7113141516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Video Virtual Care, PLLCGroup PAC ID 0143650416, 36 clinicians
Minuteclinic Video Virtual Care of Wisconsin, SCGroup PAC ID 0547684243, 3 clinicians
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians

Practice addresses (Care Compare)

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 389-2727

1650 N Farwell Ave
Milwaukee, WI 53202-2331
Phone (866) 389-2727

19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727

307 Egg Harbor Rd
Sewell, NJ 08080-1850
Phone (866) 389-2727

375 White Plains Rd
Eastchester, NY 10709-2826
Phone (866) 389-2727

390 Limit St
Leavenworth, KS 66048-4525
Phone (866) 389-2727

698 Fairview Rd
Simpsonville, SC 29680-6708
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80.74
Improvement activities
40
Cost
78.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14498CTMDFamily Nurse Practitioner
RN203708GAMDFamily Nurse Practitioner
53-78595-112KSMDFamily Nurse Practitioner
5022027NCMDFamily Nurse Practitioner
202235NDMDFamily Nurse Practitioner
26NJ15320200NJMDFamily Nurse Practitioner
357510NYMDFamily Nurse Practitioner
SP032710PAMDFamily Nurse Practitioner
CP003605SDMDFamily Nurse Practitioner
0024192898VAMDFamily Nurse Practitioner
16604-33WIMDFamily Nurse Practitioner
122379WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Apr 23, 2025 Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince May 16, 2025 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Sep 24, 2025 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Sep 19, 2025 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince May 16, 2025 Accepting new patients
Primary Care PLLC Family CurrentSince Feb 23, 2025 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Apr 1, 2019 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince May 16, 2025 Accepting new patients
Minuteclinic Diagnostic of Wisconsin, LLC Family CurrentSince Apr 23, 2025 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince May 16, 2025 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Apr 23, 2025 Accepting new patients
Minuteclinic Video Virtual Care of Wisconsin, SC Family CurrentSince Apr 23, 2025 Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

390 Limit St
Leavenworth, KS 66048
Phone (913) 651-2323

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

1650 N Farwell Ave
Milwaukee, WI 53202
Phone (414) 277-5044

Interoperability endpoints

  • Direct secure messaging: cnicosia815327@direct.sw.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1154747970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801850",
            "telephone_number": "877-993-4321",
            "fax_number": "401-537-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801850",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOSIA",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15320200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192898",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78595-112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "122379",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "202235",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14498",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032710",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203708",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "16604-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357510",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022027",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.