Active NPI
Crystal Bokorney, NP
- Nurse Practitioner
- Texas City, TX
National Provider Identifier
1831773548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1036649
- Practice address
- 6807 Emmett F Lowry Expy Ste 108
Texas City, TX 77591-2547 - Phone
- (409) 945-5444
- NPI assigned
- May 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210610002990 | TX | Practitioner - Nurse Practitioner | 4082014188 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sid Acharya MD PA | Current | Accepting new patients | |
| CPF Cardiology Associates, P.a. | Current | Accepting new patients |
Locations
6807 Emmett F Lowry Expy
Ste 108
Texas City, TX 77591
Phone (409) 945-5444
6807 Emmett F Lowry Expy
Ste 302D
Texas City, TX 77591
Phone (832) 905-5940
450 Blossom St
Ste D
Webster, TX 77598
Phone (832) 905-4044
450 Blossom St
Ste A
Webster, TX 77598
Phone (281) 506-8720
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1036649 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6807 Emmett F Lowry Expy Ste 108
Texas City, TX 77591-2547
Mailing address
111 Rocky Cove LN
Dickinson, TX 77539-3221
Phone (920) 918-8982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 9, 2021.
{
"created_epoch": "1620518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620518400000",
"number": "1831773548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ROCKY COVE LN",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775393221",
"telephone_number": "920-918-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6807 EMMETT F LOWRY EXPY STE 108",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775912547",
"telephone_number": "409-945-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKORNEY",
"first_name": "CRYSTAL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-09",
"last_updated": "2021-05-09",
"certification_date": "2021-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1036649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texas City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; 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.