Richard Crisostomo, PMHNP-BC - Nurse Practitioner in Wasilla, AK

Richard Crisostomo, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Wasilla, Alaska. Richard Crisostomo is licensed to practice in Alaska (license number 132337) and his current practice location is 3505 E Meridian Park Loop Ste 200, Wasilla, Alaska. He can be reached at his office (for appointments etc.) via phone at (079) 357-4400.

NPI number for Richard Crisostomo is 1245753656 and his current mailing address is 3505 E Meridian Park Loop Ste 200, Wasilla, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245753656.

Contact Information

Richard Crisostomo, PMHNP-BC
3505 E Meridian Park Loop Ste 200,
Wasilla, AK 99654-7242
(079) 357-4400
(907) 357-4410

Map and Direction




Provider's Profile

Full NameRichard Crisostomo
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3505 E Meridian Park Loop Ste 200, Wasilla, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245753656
  • Provider Enumeration Date: 07/18/2017
  • Last Update Date: 01/21/2020

Medical Identifiers

Medical identifiers for Richard Crisostomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245753656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health TAPRN701646 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN002619 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 132337 (Alaska)Primary

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. Richard Crisostomo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Richard Crisostomo, PMHNP-BC
3505 E Meridian Park Loop Ste 200,
Wasilla, AK 99654-7242

Ph: (079) 357-4400
Richard Crisostomo, PMHNP-BC
3505 E Meridian Park Loop Ste 200,
Wasilla, AK 99654-7242

Ph: (079) 357-4400

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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