Crystal Grace Bockoven, MD
NPI 1831642750ActiveIndividual· Pathology, Clinical Pathology/Laboratory Medicine· Madison, WI
Pathology, Clinical Pathology/Laboratory Medicine (MD) in Madison, Wisconsin, trained at University of Minnesota Medical School (class of 2016). Enrolled in Medicare as practitioner - pathology.
Overview
| NPI | 1831642750 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 27, 2016 |
| Last updated in NPPES | Feb 21, 2022 |
| Certified by provider | Feb 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Clinical Pathology/Laboratory Medicine Primary | 207ZP0105X | A168960 | CA |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | 125.069585 | IL |
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 - Pathology (WI) |
|---|
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Pathology |
Medical group
- University of Wisconsin Medical Foundation IncMadison, WI · 2,553 clinicians
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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