CAROL CLAIRE CRISOSTOMO CRNP
NPI 1518770858
Nurse Practitioner - Family in Gaithersburg, MD

Active since January 30, 2025PECOS Enrolled
818 W DIAMOND AVE STE 130, GAITHERSBURG, MD 20878(301) 409-0515 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol Claire Crisostomo Crnp NPPES

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

CAROL CLAIRE CRISOSTOMO CRNP (NPI 1518770858) is an individual family provider in Gaithersburg, Maryland, licensed in Maryland (AC007885) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rockville, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1518770858
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL CLAIRE CRISOSTOMOCredential: CRNP
Location Address818 W DIAMOND AVE STE 130Gaithersburg, MD 20878-1417
Mailing Address13598 Arcadian DrLeesburg, VA 20176-5022 · (612) 345-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 30, 2025
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
NPI 1518770858 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 MD · AC007885
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001281517 (VA)
818 W DIAMOND AVE STE 130, Gaithersburg, MD 20878

Secondary Practice Location 1

Location 150 W Edmonston Dr Ste 404Rockville, MD 20852-1274 · Phone (301) 409-0515

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carol Claire Crisostomo Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577068527
PECOS Enrollment IDI20251016002995, I20260508000807
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20878 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
818 W DIAMOND AVE STE 130
GAITHERSBURG, MD 20878

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 Carol Claire Crisostomo's NPI number?

The NPI number for Carol Claire Crisostomo is 1518770858. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Carol Claire Crisostomo located?

Carol Claire Crisostomo practices at 818 W Diamond Ave Ste 130, Gaithersburg, MD 20878. The listed phone number is (301) 409-0515.

What is Carol Claire Crisostomo's specialty?

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

Is Carol Claire Crisostomo enrolled in Medicare?

Yes. Carol Claire Crisostomo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carol Claire Crisostomo was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.