CRYSTAL PENNINO NP-C
NPI 1508372277
Nurse Practitioner - Family in Ketchikan, AK

Active since December 18, 2017PECOS EnrolledAccepts Medicare Assignment
97.15/100
CMS Quality Rating
605 GATEWAY CT, KETCHIKAN, AK 99901(907) 228-6558 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Sep 16, 2020, Dec 18, 2017 (3 updates tracked since 2017).

About Crystal Pennino Np-c NPPES

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

CRYSTAL PENNINO NP-C (NPI 1508372277) is an individual family provider in Ketchikan, Alaska, licensed in Alaska (166689) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ketchikan, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508372277
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL PENNINOCredential: NP-C
Location Address605 GATEWAY CTKetchikan, AK 99901-5672
Mailing Address120 Carlanna Lake RdKetchikan, AK 99901-5611
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 18, 2017
Last NPPES UpdateDecember 8, 20203 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
NPI 1508372277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AK · 166689
Also ListedRegistered NurseTaxonomy 163W00000X · License 22403 (AK)
605 GATEWAY CT, Ketchikan, AK 99901

Secondary Practice Location 1

Location 1120 Carlanna Lake RdKetchikan, AK 99901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Crystal Pennino Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496148744
PECOS Enrollment IDI20220209000179
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services45 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services18 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
15 services14 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.69
Promoting Interoperability100
Improvement Activities40
Cost86.57

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.

Advanced Practice Midwife
605 GATEWAY CT
KETCHIKAN, AK 99901
Registered Nurse
605 GATEWAY CT
KETCHIKAN, AK 99901
Registered Nurse (Community Health)
605 GATEWAY CT
KETCHIKAN, AK 99901

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 Pennino's NPI number?

The NPI number for Crystal Pennino is 1508372277. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Crystal Pennino located?

Crystal Pennino practices at 605 Gateway Ct, Ketchikan, AK 99901. The listed phone number is (907) 228-6558.

What is Crystal Pennino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Crystal Pennino enrolled in Medicare?

Yes. Crystal Pennino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Crystal Pennino accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Crystal Pennino 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 Pennino was last updated on December 8, 2020. 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.