Individual provider Active NPI

Crystol Gaylia Vassell, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1558137265
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11029697 Issued in FL
Practice address
201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone
(954) 786-2380
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11029697 FL Primary

Addresses

Primary practice location

201 E Sample Rd
Deerfield Beach, FL 33064-3502

Mailing address

3864 Lancewood Dr
Coral Springs, FL 33065-6004
Phone (954) 770-0834

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121001990 FL Practitioner - Nurse Practitioner 9234664699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1766 NE 4TH St
Oasis at Boynton Beach
Boynton Beach, FL 33435-2501
Phone (561) 336-3578

3005 S Congress Ave
Courtyard Gardens Senior Living
Boynton Beach, FL 33426-9045
Phone (561) 841-0055

4201 Leo LN
Riviera Beach, FL 33410-6405
Phone (561) 841-0055

4840 W Atlantic Ave
Symphony at Delray
Delray Beach, FL 33445-3907
Phone (502) 632-4496

534 Datura St
West Palm Beach, FL 33401-5308
Phone (561) 659-9330

840 SW 8TH St
Green Life Assisted Living Faility
Pompano Beach, FL 33060-8214
Phone (855) 331-6615

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11029697FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Psychiatry and Wellness PLLC CurrentSince May 6, 2025 Accepting new patients

Locations

840 SW 8th St
Pompano Beach, FL 33060
Phone (855) 331-6615

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1558137265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 LANCEWOOD DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330656004",
            "telephone_number": "954-770-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E SAMPLE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330643502",
            "telephone_number": "954-786-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSELL",
        "first_name": "CRYSTOL",
        "middle_name": "GAYLIA",
        "name_prefix": "Ms.",
        "credential": "RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11029697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.