Individual provider Active NPI

Chrystal Lynn Bermudez, F.N.P.

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1841440583
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209209 Issued in AK
Practice address
3831 Piper St Ste S220
Anchorage, AK 99508-4680
Phone
(907) 212-4824
Fax
(907) 212-4831
NPI assigned
Sep 30, 2008
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13578 TN
Family Nurse Practitioner 363LF0000X 209209 AK Primary

Addresses

Primary practice location

3831 Piper St Ste S220
Anchorage, AK 99508-4680

Mailing address

PO Box 31001-4162
Pasadena, CA 91110-4162
Phone (866) 747-2455

Other practice location 1

9217 Park West Blvd
Suite C-3
Knoxville, TN 37923-4404
Phone (865) 693-9373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AK2 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
I20111111000449 TN Practitioner - Nurse Practitioner 1557535432 Reassigns benefits to 3 organizations
I20230727002914 AK Practitioner - Nurse Practitioner 1557535432 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13578TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Aug 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
SBH-Kingsport CurrentSince May 4, 2021 Accepting new patients
SBH-Kingsport CurrentSince May 4, 2021 Accepting new patients
Providence Health & Services-Washington CurrentSince Aug 1, 2023 Accepting new patients
Medpsych Inc. PC CurrentSince Apr 22, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Family CurrentSince Oct 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2020 Accepting new patients
Kent H. Van Arsdell, M.D. Past Accepting new patients

Locations

3831 Piper St
Ste S220
Anchorage, AK 99508
Phone (907) 212-3420

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

408 N State of Franklin Rd
Ste 31B
Johnson City, TN 37604
Phone (423) 431-4946

1025 Executive Park Blvd
Kingsport, TN 37660
Phone (423) 765-0777

Interoperability endpoints

  • Direct secure messaging: cbermudez2915921@ak.providencedirect.org

Organizations & group practices 9

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1841440583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4162",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104162",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST STE S220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084680",
            "telephone_number": "907-212-4824",
            "fax_number": "907-212-4831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9217 Park West Blvd",
            "address_2": "Suite C-3",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234404",
            "country_code": "US",
            "telephone_number": "865-693-9373",
            "fax_number": "865-693-5368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "CHRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13578",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "209209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.