Mica Crisp, APRN - Medicare Nurse Practitioner in Honolulu, HI

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Mica Crisp, APRN is a medicare enrolled "Nurse Practitioner - Family" in Honolulu, Hawaii. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Seattle Emergency Physicians Services Inc Ps, Multicare Health System and his current practice location is 1301 Punchbowl St, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 691-1000.

Mica Crisp is licensed to practice in Hawaii (license number APRN-2694) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568985646.

Contact Information

Mica Crisp, APRN
1301 Punchbowl St,
Honolulu, HI 96813-2402
(808) 691-1000
Not Available

Map and Direction




Provider's Profile

Full NameMica Crisp
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location1301 Punchbowl St, Honolulu, Hawaii
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mica Crisp graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1568985646
  • Provider Enumeration Date: 07/20/2017
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567728017
  • Enrollment ID: I20171115003920

Medical Identifiers

Medical identifiers for Mica Crisp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568985646NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP60774418 (Washington)Secondary
363LF0000XNurse Practitioner - Family APRN-2694 (Hawaii)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish Medical Center / Cherry HillSeattle, WAHospital
Tacoma General Allenmore HospitalTacoma, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Seattle Emergency Physicians Services Inc Ps428452169144
Multicare Health System77198998971689

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. Mica Crisp allows following entities to bill medicare on his behalf.
Entity NameMulticare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454
Entity NameSeattle Emergency Physicians Services Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376642298
PECOS PAC ID: 4284521691
Enrollment ID: O20040301001149

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. Mica Crisp 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
Mica Crisp, APRN
1200 Queen Emma St Apt 1602,
Honolulu, HI 96813-6308

Ph: (206) 818-9239		Mica Crisp, APRN
1301 Punchbowl St,
Honolulu, HI 96813-2402

Ph: (808) 691-1000

Reviews and Comments


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Qi Zhi, NP
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Phone: 808-261-4476    
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Phone: 808-772-9673    

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.