Active NPI
Crystal Pawula, APRN
- Gerontology Nurse Practitioner
- North Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN9440414
- Practice address
- 5500 Pinebrook Rd Ste 202
North Venice, FL 34275-3678 - Phone
- (941) 408-0500
- Fax
- (941) 496-8558
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN9440414 | FL | Primary |
Addresses
Primary practice location
5500 Pinebrook Rd Ste 202
North Venice, FL 34275-3678
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9440414 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Nurse Practitioner | Current | Accepting new patients |
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients |
Locations
200 Healthcare Way
Unit 103
North Venice, FL 34275
Phone (941) 261-0160
5500 Pinebrook Rd
Ste 202
North Venice, FL 34275
Phone (941) 408-0500
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780
836 Sunset Lake Blvd
Ste 102
Venice, FL 34292
Phone (941) 497-1771
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.
-
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- Cape Coral, FL
- NPI 1760590962
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1184092546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 PINEBROOK RD STE 202",
"city": "NORTH VENICE",
"state": "FL",
"postal_code": "342753678",
"telephone_number": "941-408-0500",
"fax_number": "941-496-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWULA",
"first_name": "CRYSTAL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9440414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.