MARLENE L DICRISTINA M.D.
NPI 1558368597
Family Medicine in Longview, WA

Q: What is Marlene Dicristina's NPI number?

The NPI number for Marlene Dicristina is 1558368597. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Q: What is Marlene Dicristina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 06, 2005PECOS Enrolled

1230 7TH AVE, LONGVIEW, WA 98632(360) 636-2400 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Marlene L Dicristina M.d. NPPES

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

MARLENE L DICRISTINA M.D. (NPI 1558368597) is an individual family medicine provider in Longview, Washington, licensed in Washington (MD00047921) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558368597

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARLENE L DICRISTINACredential: M.D.

Location Address1230 7TH AVELongview, WA 98632-3166

Mailing Address1230 7th AveLongview, WA 98632-3166 · (360) 636-2400

Phone(360) 636-2400

Sole ProprietorNo

Enumeration DateJuly 6, 2005

Last NPPES UpdateJanuary 31, 2022

✔ NPI 1558368597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD00047921

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1230 7TH AVE, Longview, WA 98632

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Other Identifiers 1

Medicaid0440388IA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlene L Dicristina 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 Reassignment

Medicare enrollment records show Marlene Dicristina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Manor Care Of Salmon Creek Wa, Association

32 mi

Skilled Nursing Facility

2811 NE 139TH ST
Vancouver, WA 98686

Reassigned Medicare billing, Washington and Oregon enrollments
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
Also billed through NPI 1093043424 (Oregon)
2,534 clinicians in this Medicare group

NPI 1609171081 (360) 574-5247

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

BRENDA BUTLER PHARMD

Pharmacist