Individual provider Active NPI

Crystal Burks, APRN

  • Family Nurse Practitioner
  • Orange City, FL
National Provider Identifier
1821616376
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007710 Issued in FL
Practice address
258 Treemonte Dr Ste 258
Orange City, FL 32763-7945
Phone
(386) 628-3376
NPI assigned
Jul 10, 2020
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007710 FL Primary
Dermatology Physician 207N00000X APRN11007710 FL

Addresses

Primary practice location

258 Treemonte Dr Ste 258
Orange City, FL 32763-7945

Mailing address

258 Treemonte Dr Ste 258
Orange City, FL 32763-7945
Phone (386) 628-3376

Other names 1

  • Crystal Burks Other name

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
I20221118001911 FL Practitioner - Nurse Practitioner 7113395302 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil Sandhu PAGroup PAC ID 6103240833, 5 clinicians

Practice addresses (Care Compare)

258 Treemonte Dr
Unit 258
Orange City, FL 32763-7945
Phone (386) 628-3376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neil Sandhu PA Single Specialty CurrentSince Jun 10, 2024 Accepting new patients
Theo Medical Dermatology, LLC Single Specialty CurrentSince Aug 31, 2022 Accepting new patients
Nosky P.a. Single Specialty CurrentSince Jun 10, 2024 Accepting new patients
Michael J Freeman MD PA Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Lumen Dermatology LLC Single Specialty PastSince Mar 1, 2025 Accepting new patients

Locations

3030 E Semoran Blvd
Ste 258
Apopka, FL 32703
Phone (407) 671-3634

112 Park Place Blvd
Davenport, FL 33837
Phone (407) 343-1825

685 Peachwood Dr
Deland, FL 32720
Phone (386) 736-3463

1157 Miranda Ln
Kissimmee, FL 34741
Phone (407) 483-4950

2300 Maitland Center Pkwy
#A
Maitland, FL 32751
Phone (386) 628-3376

2723 SE Maricamp Rd
Ocala, FL 34471
Phone (352) 732-5211

2750 SE 17th St
Ocala, FL 34471
Phone (351) 732-7779

258 Treemonte Dr
Ste 258
Orange City, FL 32763
Phone (386) 628-3376

258 Treemonte Dr
Unit 258
Orange City, FL 32763
Phone (888) 578-3188

512 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 483-4950

3875 S Nova Rd
Port Orange, FL 32127
Phone (386) 322-9244

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00298

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1821616376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 TREEMONTE DR STE 258",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637945",
            "telephone_number": "386-628-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 TREEMONTE DR STE 258",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637945",
            "telephone_number": "386-628-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007710",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "APRN11007710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BURKS",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.