Mica Crisp, APRN in Honolulu, HI - Medicare Nurse Practitioner

Mica Crisp, APRN is a medicare enrolled "Nurse Practitioner - Family" in Honolulu, Hawaii. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Seattle Emergency Physicians Services Inc Ps, Multicare Health System and his current practice location is 1301 Punchbowl St, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 691-1000.

Mica Crisp is licensed to practice in Hawaii (license number APRN-2694) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568985646.

Contact Information

	Mica Crisp, APRN
	1301 Punchbowl St, Honolulu, HI 96813-2402
	(808) 691-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mica Crisp
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	1301 Punchbowl St, Honolulu, Hawaii
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mica Crisp graduated from nursing school in 2017

NPI Data:

NPI Number: 1568985646
Provider Enumeration Date: 07/20/2017
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2567728017
Enrollment ID: I20171115003920

Medical Identifiers

Medical identifiers for Mica Crisp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568985646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP60774418 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN-2694 (Hawaii)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Seattle Emergency Physicians Services Inc Ps	4284521691	45
Multicare Health System	7719899897	1704

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mica Crisp allows following entities to bill medicare on his behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

Entity Name	Seattle Emergency Physicians Services Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376642298 PECOS PAC ID: 4284521691 Enrollment ID: O20040301001149

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mica Crisp is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mica Crisp, APRN 1200 Queen Emma St Apt 1602, Honolulu, HI 96813-6308 Ph: (206) 818-9239	Mica Crisp, APRN 1301 Punchbowl St, Honolulu, HI 96813-2402 Ph: (808) 691-1000

Reviews and Comments

Nurse Practitioner Nurses in Honolulu, HI

Ms. Chong Son An, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-0000
Jessica Jung Ackerman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 277 Ohua Ave, Honolulu, HI 96815 Phone: 808-922-4787
Mrs. Katie Akiko Azama, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4211 Waialae Ave, Honolulu, HI 96816 Phone: 808-732-0784
Mr. Harold Marion Galara Palma, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Liliha St Ste 601, Honolulu, HI 96817 Phone: 808-523-0445
May Gresko, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 S Beretania St Ste 750, Honolulu, HI 96814 Phone: 808-536-2261
Samuel Jiun Jung, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Makaloa St Ste 201a, Honolulu, HI 96814 Phone: 808-772-9673
Xiaojin Zhou, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-0000

Mica Crisp, APRN - Medicare Nurse Practitioner in Honolulu, HI