Crestview Neurology
NPI 1194911768 · Neurology Physician · Crestview, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crestview Neurology is a Neurology Physician organization in Crestview, FL (NPI 1194911768).
Provider details
- NPI number
- 1194911768
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shijun Pan, Sole Owner(850) 424-4664
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-18
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Crestview Neurology's NPI number?
- Crestview Neurology's National Provider Identifier (NPI) is 1194911768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crestview Neurology?
- Crestview Neurology is classified in the NPPES registry as Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Crestview Neurology located?
- Crestview Neurology's practice location on file with NPPES is 535 S Ferdon Blvd, Crestview, FL 32536-4446.
- What is Crestview Neurology's phone number?
- The practice phone number listed in the NPPES registry for Crestview Neurology is (850) 423-4664.
- Does Crestview Neurology accept Medicare?
- Crestview Neurology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crestview Neurology?
- The authorized official listed on Crestview Neurology's NPPES record is Shijun Pan, Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crestview Neurology's NPI active?
- Yes — Crestview Neurology's NPI (1194911768) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.