Crystal Pennino, NP-C - Medicare Nurse Practitioner in Ketchikan, AK

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Crystal Pennino, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Ketchikan, Alaska. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ketchikan Indian Corporation and her current practice location is 605 Gateway Ct, Ketchikan, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 228-6558.

Crystal Pennino is licensed to practice in Alaska (license number 166689) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508372277.

Contact Information

Crystal Pennino, NP-C
605 Gateway Ct,
Ketchikan, AK 99901-5672
(907) 228-6558
Not Available

Map and Direction




Provider's Profile

Full NameCrystal Pennino
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location605 Gateway Ct, Ketchikan, Alaska
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Crystal Pennino graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1508372277
  • Provider Enumeration Date: 12/18/2017
  • Last Update Date: 12/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5496148744
  • Enrollment ID: I20220209000179

Medical Identifiers

Medical identifiers for Crystal Pennino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508372277NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 22403 (Alaska)Secondary
363LF0000XNurse Practitioner - Family 166689 (Alaska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peacehealth Ketchikan Medical CenterKetchikan, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ketchikan Indian Corporation842604376110

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crystal Pennino allows following entities to bill medicare on her behalf.
Entity NameKetchikan Indian Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821120486
PECOS PAC ID: 8426043761
Enrollment ID: O20050623000335

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Pennino is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal Pennino, NP-C
120 Carlanna Lake Rd,
Ketchikan, AK 99901-5611

Ph: () -		Crystal Pennino, NP-C
605 Gateway Ct,
Ketchikan, AK 99901-5672

Ph: (907) 228-6558

Reviews and Comments


Nurse Practitioner Nurses in Ketchikan, AK

Jessica Rae Pilcher, NP
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Mary Beth Patterson, APRN
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Shawna Strouth-shaw, NP
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Tammy Lorraine Earnest, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 120 Carlanna Lake Rd, Ste 102, Ketchikan, AK 99901
Phone: 907-247-9355    Fax: 907-225-9376
Maureen Northway, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 5534 North Tongass Highway, Ketchikan, AK 99901
Phone: 907-225-4325    Fax: 907-531-7369
Amanda E Hulstine, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3528 Tongass Ave, Ketchikan, AK 99901
Phone: 907-220-4447    
Ms. Leslie Amanda Locklear, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901
Phone: 907-228-8140    Fax: 907-228-8440

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.