KRYSTINA RENAE CARVISO — NPI 1831607506 (Licensed & Credentialed Case Management in GALLUP, NM)

CMS-1500 Box 24J / 33a • NPI

1831607506

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

251B00000X

Licensed & Credentialed Case Management

Box 32 Service Location & ZIP+4

2025 E AZTEC AVE, GALLUP, NM, 87301-4803

✓ 9-Digit EDI 837 ZIP+4 (87301-4803)

Practice Phone & Referral Fax

(505) 863-3828

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1831607506 (KRYSTINA RENAE CARVISO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1831607506` (NPI-1 Individual Practitioner)
Provider / Legal Name	KRYSTINA RENAE CARVISO
Plain-English Specialty	Licensed & Credentialed Case Management NUCC Code: `251B00000X` (Case Management)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2025 E AZTEC AVE, GALLUP, NM, 87301-4803
Practice Telephone / Fax	Tel: (505) 863-3828
Administrative Mailing Address	PO BOX 594, WINDOW ROCK, AZ, 86515-0594
Enumeration & Last Sync	Enumerated: 2018-01-17 \| CMS Record Updated: 2022-11-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2025 E AZTEC AVE, GALLUP, NM, 87301-4803

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Plain-English Taxonomy & CMS Crosswalk (251B00000X)

What Does Taxonomy Code 251B00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251B00000X translates to:
"Licensed & Credentialed Case Management"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Management for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KRYSTINA RENAE CARVISO)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`106S00000X` — Behavior Technician Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician	State: N/A \| License: `Verified` \| Primary: Secondary
`251B00000X` — Case Management Plain English: Licensed & Credentialed Case Management	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KRYSTINA RENAE CARVISO (NPI #1831607506)