Crystal Nathalia Novelozo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11009981 Issued in FL

Practice address

330 Chiloquin Blvd
Chiloquin, OR 97624-6747

Phone

(541) 882-1487

Fax

(541) 783-3237

NPI assigned

Dec 11, 2020

Last updated

Mar 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, OR2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WT Health of Florida LLCGroup PAC ID 5294268124, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• WT Health of Florida LLC

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1982434106

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Klamath Tribal Health & Family Services

  • Federally Qualified Health Center (FQHC)
  • Chiloquin, OR
  • NPI 1629078274

  Single Specialty

  Medicare reassignment NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474

  Single Specialty

  Medicare reassignment NPD
• Wound Technology Network Inc

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1962601393

  Single Specialty

  Medicare reassignment NPD
• MD Now Medical Centers Inc

  dba MD Now Urgent Care

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1265107361
  NPD

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1922694173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 SOUTH 6TH STREET",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97603",
            "telephone_number": "541-882-1487",
            "fax_number": "541-880-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CHILOQUIN BLVD",
            "city": "CHILOQUIN",
            "state": "OR",
            "postal_code": "976246747",
            "telephone_number": "541-882-1487",
            "fax_number": "541-783-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVELOZO",
        "first_name": "CRYSTAL",
        "middle_name": "NATHALIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2020068949",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009981",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202207601NP-PP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500806410",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Klamath Tribal Health & Family Services
• Klamath Tribal Health & Family Services (Klamath Tribal Pharmacy - Chiloquin)
• Paul J Martin, DDS
• Elizabeth Burton Matuk, FNP
• Thuc Xuan Ngo, DMD
• Gerald B Ramos, DDS
• Jamie D. Rich, M.D.
• Melissa Sample, FNP
• Benjamin Russel Stuart, DNP, APRN, FNP-C
• Shaymaa Taha

• Family Nurse Practitioner in Chiloquin, OR
• Providers in Chiloquin, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.