Crystal Gulotta, DNP, CNM, FNP - Medicare Advanced Practice Midwife in Tucson, AZ

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Crystal Gulotta, DNP, CNM, FNP is a medicare enrolled "Advanced Practice Midwife" in Tucson, Arizona. Her current practice location is 5245 E Knight Dr, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 471-4856.

Crystal Gulotta is licensed to practice in Arizona (license number AP9810) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174059968.

Contact Information

Crystal Gulotta, DNP, CNM, FNP
5245 E Knight Dr,
Tucson, AZ 85712-2147
(520) 471-4856
(520) 326-0302

Map and Direction




Provider's Profile

Full NameCrystal Gulotta
GenderFemale
SpecialityAdvanced Practice Midwife
Location5245 E Knight Dr, Tucson, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174059968
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 08/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062754781
  • Enrollment ID: I20190430000888

Medical Identifiers

Medical identifiers for Crystal Gulotta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174059968NPI-NPPES
507765MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 223799 (Arizona)Secondary
367A00000XAdvanced Practice Midwife AP9810 (Arizona)Primary

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. Crystal Gulotta allows following entities to bill medicare on her behalf.
Entity NameSouthern Arizona Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285994004
PECOS PAC ID: 9335398031
Enrollment ID: O20121011000888
Entity NameTmc Medical Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750832283
PECOS PAC ID: 9638457013
Enrollment ID: O20161107000996
Entity NameTmc Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649759606
PECOS PAC ID: 7416295688
Enrollment ID: O20200326000484
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210305000869

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. Crystal Gulotta 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
Crystal Gulotta, DNP, CNM, FNP
5245 E Knight Dr,
Tucson, AZ 85712-2147

Ph: (520) 471-4856		Crystal Gulotta, DNP, CNM, FNP
5245 E Knight Dr,
Tucson, AZ 85712-2147

Ph: (520) 471-4856

Reviews and Comments


Advanced Practice Midwife Nurses in Tucson, AZ

Rachel Hackl, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2055 W Hospital Dr, Suite 115, Tucson, AZ 85704
Phone: 520-797-0011    Fax: 520-797-7550
Janice Rodenberg, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 839 W Congress St, Tucson, AZ 85745
Phone: 520-670-3870    Fax: 520-670-3896
Ms. Sandra G. Hodges, CNM, MSN
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Medicare: Medicare Enrolled
Practice Location: 6950 E Golf Links Rd, Tucson, AZ 85730
Phone: 520-670-3909    Fax: 520-309-2560
Kerry E Griffin, CNM
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Medicare: Not Enrolled in Medicare
Practice Location: 839 W Congress St, Tucson, AZ 85745
Phone: 520-795-9912    Fax: 520-795-9934
Olivia Allegra May, CNM
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Medicare: Accepting Medicare Assignments
Practice Location: 6950 E Golf Links Rd, Tucson, AZ 85730
Phone: 520-670-3909    Fax: 520-309-2560
Shannon Christine Hren, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2055 W Hospital Dr Ste 115, Tucson, AZ 85704
Phone: 520-797-0011    Fax: 520-797-7550
Genevieve Antoinette Sansonetti-sice,
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 7252 N Placita Sin Codicia, Tucson, AZ 85718
Phone: 520-575-9572    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.