Crystal Michealson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005022 Issued in CO

Practice address

4323 Integrity Center PT
Colorado Springs, CO 80917-1683

Phone

(719) 364-9560

NPI assigned

Jul 11, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Arroyo Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Urgent Care Center PAGroup PAC ID 3274877154, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Summit Urgent Care Center PA

  • Urgent Care Clinic/Center
  • El Paso, TX
  • NPI 1235155375
  Medicare reassignment Care Compare group
• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • Urgent Care Clinic/Center
  • Castle Rock, CO
  • NPI 1275020786
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588929913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 INTEGRITY CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171683",
            "telephone_number": "719-364-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 INTEGRITY CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171683",
            "telephone_number": "719-364-9560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 N Piedras St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799205001",
            "country_code": "US",
            "telephone_number": "915-742-6386",
            "fax_number": "915-569-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHEALSON",
        "first_name": "CRYSTAL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "ARROYO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary Michael
• Marianne Michaels, ARNP
• Carlee V Michaelson, AUD
• Victoria Michaelson, DNP, FNP-BC
• Jillian Sarah Michalenko, CNM
• Frederick H Michel, MD
• Cheyenne Micheliza Arlint
• Michelle and Glenn Vrooman LLC (Inner Peace Psychotherapy)
• Michelle L Haman DDS, P.C.
• Michelle Moran MD PC

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.