Krystal Pearl Casias, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

68902 Issued in NM

Practice address

10651 Cavenaugh Dr NW
Albuquerque, NM 87114-1357

Phone

(505) 818-1930

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

No

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.

• House Calls of New Mexico LLC

  • Specialist
  • Albuquerque, NM
  • NPI 1194779322

  NM

  Medicare reassignment NPD
• TWC Abq

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1124891650

  NM

  Medicare reassignment NPD
• Spencer J Hardenbrook MD PC

  • Family Medicine Physician
  • Draper, UT
  • NPI 1073909594

  NM

  Medicare reassignment NPD
• Family Medicine PC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1083802029
  NPD

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2022.

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1346974920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 CAVENAUGH DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141357",
            "telephone_number": "505-818-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10651 CAVENAUGH DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141357",
            "telephone_number": "505-818-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIAS",
        "first_name": "KRYSTAL",
        "middle_name": "PEARL",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "68902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Andrea Cash
• Debra Marie Casiano-Bustamante, PT
• Briana Elena Casiano, APRN, FNP-BC
• Chloejane Casias
• Jazmine Danielle Casias, O.D.
• William Casias
• Elizabeth Casillas
• Terri L Caspary-Schmidt, CNM
• Eve Azmeh Cassat, LMHC
• Michelle R. Cassell, CNS

• All providers in Albuquerque, NM
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.

Verify at the official NPI Registry.