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

Mrs. Krystal Marie Disantis, NP-C

Individual provider Nurse Practitioner · NPI 1033693288

Mrs. Krystal Marie Disantis, NP-C is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 2018, 8 years ago. Practices with Cardiac Vision LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

731 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603
Phone: (786) 738-9144
Fax: (877) 245-1597
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 APRN.CNP.0233204 (OH)

Record details

NPI number1033693288
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2018
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cardiac Vision Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Daytona Beach