Crystal Goncalves, AGACNP-BC
NPI 1811758758ActiveIndividual· Nurse Practitioner· Providence, RI
Nurse Practitioner (AGACNP-BC) with Lifespan Physician Group Inc and 1 other group, practicing in Providence, Rhode Island. Their prescriptions cost Medicare Part D more than their services did: $18,316 for 107 claims, against $1,236 paid for services in 2024. Lists Rhode Island Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1811758758 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP-BC |
| Sole proprietor | No |
| NPI issued | Jan 18, 2024 |
| Last updated in NPPES | Mar 15, 2024 |
| Certified by provider | Mar 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN03865 | RI |
| Nurse Practitioner, Gerontology | 363LG0600X | APRN03865 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 26 across 8 procedure codes |
| Paid by Medicare | $1,236 |
Part D prescriptions in 2024
| Prescriptions (claims) | 107 · 179 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $18,316 |
| Generic share | 75% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
- Rhode Island HospitalProvidence, RI · 437 clinicians
Hospital affiliations
- Rhode Island HospitalProvidence, RI
- The Miriam HospitalProvidence, RI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 181 nurse practitioners in Providence · All nurse practitioners in Rhode Island