CRYSTAL-ROSE BRIDGETT CUELLAR M.D.
NPI 1497140057
Pediatrics - Adolescent Medicine in Seattle, WA

Active since March 31, 2015PECOS Enrolled
4540 SAND POINT WAY NE STE 200, SEATTLE, WA 98105(206) 987-2028 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Crystal-rose Bridgett Cuellar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL-ROSE BRIDGETT CUELLAR M.D. (NPI 1497140057) is an individual adolescent medicine provider in Seattle, Washington, licensed in Washington (MD60841041) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497140057
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameCRYSTAL-ROSE BRIDGETT CUELLARCredential: M.D.
Location Address4540 SAND POINT WAY NE STE 200Seattle, WA 98105-3941
Mailing Address4540 Sand Point Way Ne Ste 200Seattle, WA 98105-3941 · (206) 987-2028
Sole ProprietorNo
Enumeration DateMarch 31, 2015
Last NPPES UpdateJune 30, 2021
NPPES CertifiedJune 30, 2021
✔ NPI 1497140057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in WA · MD60841041
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
4540 SAND POINT WAY NE STE 200, Seattle, WA 98105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal-rose Bridgett Cuellar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Crystal-rose Cuellar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
4500 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • 1,443 clinicians in this Medicare group
Specialist
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4540 SAND POINT WAY NE STE 200
SEATTLE, WA 98105
Social Worker
4540 SAND POINT WAY NE STE 200
SEATTLE, WA 98105
Psychologist (Clinical Child & Adolescent)
4540 SAND POINT WAY NE STE 200
SEATTLE, WA 98105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal-rose Cuellar's NPI number?

The NPI number for Crystal-rose Cuellar is 1497140057. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Crystal-rose Cuellar located?

Crystal-rose Cuellar practices at 4540 Sand Point Way NE Ste 200, Seattle, WA 98105. The listed phone number is (206) 987-2028.

What is Crystal-rose Cuellar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Crystal-rose Cuellar enrolled in Medicare?

Yes. Crystal-rose Cuellar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Crystal-rose Cuellar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal-rose Cuellar reassigns Medicare benefits to 2 organizations: The Association Of Chrmc And University Physicians (Seattle, WA) and Seattle Children's Hospital (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal-rose Cuellar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal-rose Cuellar accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Crystal-rose Cuellar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal-rose Cuellar was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.