Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Crystal

Individual provider Nurse Practitioner · NPI 1316726987

Andrea Crystal is a Nurse Practitioner in Provo, Utah. Qualified in 2023, 3 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

395 W Cougar Blvd
Provo, UT 84604-3311
Phone: (801) 357-7420
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10378599-4405 (UT)

Record details

NPI number1316726987
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 24, 2023
Mailing address142 N 450 W, American Fork, UT 84003-1499

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Provo