Individual provider Active NPI

Crystal Bokorney, NP

  • Nurse Practitioner
  • Texas City, TX
National Provider Identifier
1831773548
Registry record updated May 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1036649 Issued in TX
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Sid Acharya MD PA CurrentSince May 4, 2021 Accepting new patients
CPF Cardiology Associates, P.a. CurrentSince Oct 16, 2023 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)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1036649 TX Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.