Mrs Krystal Marie Disantis, NP-C - Medicare Nurse Practitioner in Daytona Beach, FL

Mrs Krystal Marie Disantis, NP-C is a medicare enrolled "Nurse Practitioner" in Daytona Beach, Florida. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cardiac Vision Llc and her current practice location is 731 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (786) 738-9144.

Mrs Krystal Marie Disantis is licensed to practice in Ohio (license number APRN.CNP.0233204) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033693288.

Contact Information

Mrs Krystal Marie Disantis, NP-C
731 N Clyde Morris Blvd,
Daytona Beach, FL 32114-1603
(786) 738-9144
(877) 245-1597



Provider's Profile

Full NameMrs Krystal Marie Disantis
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location731 N Clyde Morris Blvd, Daytona Beach, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Krystal Marie Disantis graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1033693288
  • Provider Enumeration Date: 09/23/2018
  • Last Update Date: 12/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062759657
  • Enrollment ID: I20211111001456

Medical Identifiers

Medical identifiers for Mrs Krystal Marie Disantis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033693288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN.CNP.0233204 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cardiac Vision Llc903234973329

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Krystal Marie Disantis allows following entities to bill medicare on her behalf.
Entity NameConviva Medical Center Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649324278
PECOS PAC ID: 4284717422
Enrollment ID: O20080212000415

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Entity NameD.h. Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477855815
PECOS PAC ID: 6103014618
Enrollment ID: O20101228000869

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Entity NameCardiac Vision Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144651373
PECOS PAC ID: 9032349733
Enrollment ID: O20140225001134

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Krystal Marie Disantis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Krystal Marie Disantis, NP-C
6101 Blue Lagoon Dr Ste 400,
Miami, FL 33126-2051

Ph: (305) 500-2000
Mrs Krystal Marie Disantis, NP-C
731 N Clyde Morris Blvd,
Daytona Beach, FL 32114-1603

Ph: (786) 738-9144

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Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 Milton Rd, Daytona Beach, FL 32118
Phone: 970-260-0885    
Brittany C Gaskin, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117
Phone: 386-274-0500    
Charles Wright, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-238-3200    Fax: 386-238-3264
Bruce Harris, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118
Phone: 386-767-9544    
Cloressa Dizney, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-425-4542    Fax: 386-425-7705
Holly Anne Smith,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1425 Dunn Ave, Daytona Beach, FL 32114
Phone: 386-323-9600    Fax: 386-323-9695

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