Active NPI
Jacquelyn Brooke Crysler, AU.D.
- Audiologist
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY2156
- Practice address
- 5153 N 9TH Ave
Pensacola, FL 32504 - Phone
- (850) 416-1575
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5065 | NM | |
| Audiologist | 231H00000X | AY2156 | FL | Primary |
Addresses
Primary practice location
5153 N 9TH Ave
Pensacola, FL 32504
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 475-4686
Other practice location 1
9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579
Phone (505) 247-4224
Other practice location 2
9500 Montgomery Blvd NE Ste 215
Albuquerque, NM 87111-2579
Phone (505) 247-4224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 Racetrack Rd NW
Fort Walton Beach, FL 32547-1553
Phone (850) 889-4550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5065 | NM | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients |
Locations
36468 Emerald Coast Pkwy
Ste 1101
Destin, FL 32541
Phone (850) 290-2154
1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277
310 Racetrack Rd NW
Fort Walton Beach, FL 32547
Phone (850) 362-7330
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
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.
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- NPI 1871442053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1982971123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-475-4686",
"fax_number": "850-475-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5153 N 9TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32504",
"telephone_number": "850-416-1575"
}
],
"practiceLocations": [
{
"address_1": "9500 Montgomery Blvd NE Ste 215",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871112579",
"country_code": "US",
"telephone_number": "505-247-4224",
"fax_number": "505-247-1772",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9500 Montgomery Blvd NE Ste 215",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871112579",
"country_code": "US",
"telephone_number": "505-247-4224",
"fax_number": "505-247-1772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRYSLER",
"first_name": "JACQUELYN",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NM",
"license": "5065",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY2156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.