Individual provider Active NPI

Julianna Kwak Krisell, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1154791838
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5605 Issued in TN
Practice address
300 20TH Ave N Ste 406
Nashville, TN 37203-2137
Phone
(720) 666-4739
NPI assigned
Oct 6, 2015
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5605 TN Primary
Physician Assistant 363A00000X PA61030232 WA
Physician Assistant 363A00000X MA067268 PA
Physician Assistant 363A00000X 6120 SC
Physician Assistant 363A00000X 110011404 VA

Addresses

Primary practice location

300 20TH Ave N Ste 406
Nashville, TN 37203-2137

Mailing address

9110 E Nichols Ave Ste 150
Centennial, CO 80112-3450
Phone (720) 666-4739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200402000301 WA Practitioner - Physician Assistant 3971932542 Reassigns benefits to 1 organization
I20230807003262 TN Practitioner - Physician Assistant 3971932542 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5605TNMDOccupational Therapist
MA067268PAMDPhysician Assistant
6120SCMDPhysician Assistant
110011404VAMDPhysician Assistant
PA61030232WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Jul 28, 2023 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Jul 28, 2023 Accepting new patients
Providence Health & Services Washington CurrentSince Mar 16, 2020 Accepting new patients
Posterity Men's Health, P.C. Past Accepting new patients
Posterity Men's Health, P.C. Past Accepting new patients

Locations

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

149 Lilly Rd NE
Olympia, WA 98506
Phone (360) 352-3361

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

Interoperability endpoints

  • Direct secure messaging: julianna.krisell.1@29754.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1154791838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 E NICHOLS AVE STE 150",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123450",
            "telephone_number": "720-666-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 406",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032137",
            "telephone_number": "720-666-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISELL",
        "first_name": "JULIANNA",
        "middle_name": "KWAK",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5605",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61030232",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067268",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "6120",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "110011404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.