Individual provider Active NPI

Crystal Gann, FNP

  • Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1366037285
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-5204 Issued in HI
Practice address
770 Kapiolani Blvd Ste 705
Honolulu, HI 96813-5241
Phone
(808) 597-8791
Fax
(808) 597-8781
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-5204 HI Primary
Family Nurse Practitioner 363LF0000X 178866 AK

Addresses

Primary practice location

770 Kapiolani Blvd Ste 705
Honolulu, HI 96813-5241

Mailing address

770 Kapiolani Blvd Ste 705
Honolulu, HI 96813-5241
Phone (808) 597-8791

Other practice location 1

436 5th Ave
Kotzebue, AK 99752
Phone (907) 442-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210830001055 TX Practitioner - Nurse Practitioner 4587069547 Reassigns benefits to 4 organizations
I20250801004066 HI Practitioner - Nurse Practitioner 4587069547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of New Mexico School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emergency Group, Inc.Group PAC ID 1355244542, 49 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 597-8778

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates of Central Texas PA Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Maniilaq Association CurrentSince Feb 22, 2023 Accepting new patients
Maniilaq Association Current Accepting new patients
The Emergency Group, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 29, 2021 Accepting new patients
Maniilaq Association CurrentSince Feb 22, 2023 Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000

770 Kapiolani Blvd
Ste 705
Honolulu, HI 96813
Phone (808) 597-8778

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1366037285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 KAPIOLANI BLVD STE 705",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135241",
            "telephone_number": "808-597-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KAPIOLANI BLVD STE 705",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135241",
            "telephone_number": "808-597-8791",
            "fax_number": "808-597-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Kotzebue",
            "state": "AK",
            "postal_code": "99752",
            "country_code": "US",
            "telephone_number": "907-442-3321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANN",
        "first_name": "CRYSTAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-5204",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "178866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.