Crystal Noel Odegard, PA-C
NPI 1962081810ActiveIndividual· Physician Assistant· Eagle, ID
Opted out of Medicare from September 2021 to September 2027. Physician Assistant (PA-C) in Eagle, Idaho, licensed in ID, with an NPI issued in April 2021. Part D covered 161 prescriptions written in 2024, 90% of them generic.
Overview
| NPI | 1962081810 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 7, 2021 |
| Last updated in NPPES | Apr 7, 2021 |
| Certified by provider | Apr 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-1982 | ID |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Sep 9, 2021 – Sep 9, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 161 · 239 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $23,832 |
| Generic share | 90% of claims |
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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