MICA CRISP APRN
NPI 1568985646
Nurse Practitioner - Family in Honolulu, HI
About Mica Crisp Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICA CRISP APRN (NPI 1568985646) is an individual family provider in Honolulu, Hawaii, licensed in Hawaii (APRN-2694) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mica Crisp Aprn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mica Crisp reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olympia, WA 98512
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Seattle, WA 98122
- Reassigned Medicare billing, Washington enrollment
- 59 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Swedish Medical Center / Cherry Hill
Acute Care Hospitals · Seattle, WAYakima Valley Memorial
Acute Care Hospitals · Yakima, WATacoma General Allenmore Hospital
Acute Care Hospitals · Tacoma, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HONOLULU, HI 96813
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 Mica Crisp's NPI number?
The NPI number for Mica Crisp is 1568985646. It was assigned to this individual provider in the NPPES registry on July 20, 2017.
Where is Mica Crisp located?
Mica Crisp practices at 1301 Punchbowl St, Honolulu, HI 96813. The listed phone number is (808) 691-1000.
What is Mica Crisp's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mica Crisp enrolled in Medicare?
Yes. Mica Crisp 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.
Which organizations bill Medicare for Mica Crisp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mica Crisp reassigns Medicare benefits to 3 organizations: Multicare Health System (Olympia, WA), Kaiser Foundation Health Plan Of Washington (Renton, WA) and Seattle Emergency Physicians Services Inc Ps (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 Mica Crisp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mica Crisp accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mica Crisp 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.
Is Mica Crisp affiliated with any hospitals?
According to CMS data, Mica Crisp is affiliated with Swedish Medical Center / Cherry Hill, Yakima Valley Memorial and Tacoma General Allenmore Hospital.
When was this NPI record last updated?
The NPPES record for Mica Crisp was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mica Crisp, APRN · NPI 1568985646
Family physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since July 20, 2017.
## Identity
- **NPI:** 1568985646 (Entity type: Individual)
- **Enumerated:** July 20, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-2694 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 PUNCHBOWL ST, Honolulu, HI 96813-2402
- **Phone:** (808) 691-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Multicare Health System (NPI 1831609775, Olympia, WA); Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA); Seattle Emergency Physicians Services Inc Ps (NPI 1376642298, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568985646) · Data from the CMS NPPES public registry.