AUDREY A CRIST MD
NPI 1790888907
Family Medicine in Portland, OR
About Audrey A Crist Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDREY A CRIST MD (NPI 1790888907) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD26457) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Audrey A Crist Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Audrey Crist reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gresham, OR 97030
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1871848457 (Washington)
- 3,207 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97233 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.
PORTLAND, OR 97233
PORTLAND, OR 97233
PORTLAND, OR 97233
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 Audrey Crist's NPI number?
The NPI number for Audrey Crist is 1790888907. It was assigned to this individual provider in the NPPES registry on September 6, 2006. The provider is also known as Audrey Ann Crist MD.
Where is Audrey Crist located?
Audrey Crist practices at 19500 SE Stark St, Portland, OR 97233. The listed phone number is (503) 669-3900.
What is Audrey Crist's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Audrey Crist enrolled in Medicare?
Yes. Audrey Crist is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Audrey Crist's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Crist reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). The 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 Audrey Crist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Audrey Crist was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Audrey A Crist, MD · NPI 1790888907
Family Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 6, 2006.
## Identity
- **NPI:** 1790888907 (Entity type: Individual)
- **Enumerated:** September 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD26457 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 19500 SE STARK ST, Portland, OR 97233-5757
- **Phone:** (503) 669-3900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sapphire At Gresham Rehab, LLC (NPI 1033740899, Gresham, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2008
---
Source: [NPI Profile](https://npiprofile.com/npi/1790888907) · Data from the CMS NPPES public registry.