Individual provider Active NPI

Crystal Nicole Hays, APRN

  • Family Nurse Practitioner
  • Port Orange, FL
National Provider Identifier
1891260220
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9355203 Issued in FL
Practice address
4601 Clyde Morris Blvd # 20
Port Orange, FL 32129-5220
Phone
(678) 572-3570
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9355203 FL Primary

Addresses

Primary practice location

4601 Clyde Morris Blvd # 20
Port Orange, FL 32129-5220

Mailing address

4601 Clyde Morris Blvd # 20
Port Orange, FL 32129-5220
Phone (678) 572-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915002529 FL Practitioner - Nurse Practitioner 3678814944 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9355203FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic of Jacksonville, LLC CurrentSince Jul 12, 2021 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Aug 15, 2021 Accepting new patients
Openloop Healthcare Partners PC CurrentSince May 1, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
Convenientmd LLC Past Accepting new patients
Albany ENT & Allergy Services PC Past Accepting new patients
Marjorie Nolan Cohn LLC Past Accepting new patients
Emerald Medical Practice PC Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

4601 Clyde Morris Blvd
#20
Port Orange, FL 32129
Phone (386) 445-1405

2095 US Highway 1 S
St Augustine, FL 32086
Phone (904) 429-0001

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

Interoperability endpoints

  • Direct secure messaging: vrhchays@yourcarecommunity.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1891260220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 CLYDE MORRIS BLVD # 20",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321295220",
            "telephone_number": "678-572-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CLYDE MORRIS BLVD # 20",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321295220",
            "telephone_number": "678-572-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYS",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9355203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.