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

Crystal Wilson

Individual provider Family Nurse Practitioner · NPI 1922614551

Crystal Wilson is a Nurse Practitioner in South Euclid, Ohio. Qualified in 2020, 6 years ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020

Practice location Address checks out

2120 S Green Rd
South Euclid, OH 44121-3349
Phone: (330) 718-5006
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0027557 (OH)

Record details

NPI number1922614551
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2020
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020
Mailing address16117 Clifton Blvd, Lakewood, OH 44107-2336

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Euclid