Individual provider Active NPI

Timothy John Criscuolo, PA-C

  • Physician Assistant
  • Silverdale, WA
National Provider Identifier
1881613032
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60921551 Issued in WA
Practice address
1950 NW Myhre Rd FL 3
Silverdale, WA 98383-7662
Phone
(564) 240-4200
Fax
(564) 240-4299
NPI assigned
Jul 19, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60921551 WA Primary
Physician Assistant 363A00000X PA228610 OR
Physician Assistant 363A00000X 0110002020 VA
Medical Physician Assistant 363AM0700X PA60921551 WA

Addresses

Primary practice location

1950 NW Myhre Rd FL 3
Silverdale, WA 98383-7662

Mailing address

1950 NW Myhre Rd FL 3
Silverdale, WA 98383-7662
Phone (564) 240-4200

Other practice location 1

3640 NW Samaritan Dr Ste 120
Corvallis, OR 97330-3738
Phone (541) 768-5223

Other identifiers 3

IdentifierTypeStateIssuer
2125665MedicaidWA
0110002020OtherVAPHYSICIAN ASST LICENSE
1881613032MedicaidVA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tcriscuolo343184@samhealth.direct-ci.com
Direct Messaging Address tcriscuolo257262@direct.tgh.org
Direct Messaging Address tcriscuolo476006@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, FL, DC, OR5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20190620002392 WA Practitioner - Physician Assistant 4587550793 Reassigns benefits to 2 organizations
I20220523001033 CA Practitioner - Physician Assistant 4587550793 Reassigns benefits to 7 organizations
I20230112000694 FL Practitioner - Physician Assistant 4587550793 Reassigns benefits to 1 organization
I20230712004735 DC Practitioner - Physician Assistant 4587550793 Reassigns benefits to 1 organization
I20260312002448 OR Practitioner - Physician Assistant 4587550793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (564) 240-1000

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003471GAMDPsychologist
PA228610ORMDPhysician Assistant
0110002020VAMDPhysician Assistant
PA60921551WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Dec 1, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 12, 2022 Accepting new patients
University Medical Service Association Inc CurrentSince Dec 20, 2022 Accepting new patients
University Medical Service Association Inc CurrentSince Dec 20, 2022 Accepting new patients
University of California San Francisco CurrentSince May 12, 2022 Accepting new patients
Franciscan Medical Group CurrentSince Apr 29, 2019 Accepting new patients
Multicare Health System CurrentSince Sep 6, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 12, 2022 Accepting new patients
University of California San Francisco CurrentSince May 12, 2022 Accepting new patients
Inova Health Care Services CurrentSince May 27, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Mar 15, 2026 Accepting new patients
Multicare Health System Physician Assistant CurrentSince Sep 6, 2023 Accepting new patients
Stanford Health Care CurrentSince Dec 1, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Mar 15, 2026 Accepting new patients
Inova Health Care Services CurrentSince May 27, 2023 Accepting new patients
Dr. Mark a. Corbiit M.D. P.C. Past Accepting new patients
Cardiac & Thoracic Surgical Associates, LTD Past Accepting new patients
The University of Chicago Medical Centers Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Emergency Medicine South LLC Past Accepting new patients
Florida Health Sciences Center Inc Past Accepting new patients
Good Samaritan Hospital Corvallis PastSince Aug 4, 2024 Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
Fl 10
San Francisco, CA 94143
Phone (415) 476-5897

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

12901 Bruce B Downs Blvd
#62
Tampa, FL 33612

2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-0929

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

8503 Arlington Blvd
Fairfax, VA 22031
Phone (703) 970-2670

1225 Campbell Way
Ste 201
Bremerton, WA 98310
Phone (360) 377-1355

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1950 NW Myhre Rd
Fl 3
Silverdale, WA 98383
Phone (564) 240-4200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: tcriscuolo235244@direct-ucsfmedicalcenter.org
  • Direct secure messaging: tcriscuolo343184@samhealth.direct-ci.com
  • Direct secure messaging: tcriscuolo476006@fhsce.catholichealth.net

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1881613032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NW MYHRE RD FL 3",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837662",
            "telephone_number": "564-240-4200",
            "fax_number": "564-240-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 NW MYHRE RD FL 3",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837662",
            "telephone_number": "564-240-4200",
            "fax_number": "564-240-4299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 NW Samaritan Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303738",
            "country_code": "US",
            "telephone_number": "541-768-5223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISCUOLO",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60921551",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA228610",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002020",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60921551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125665",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASST LICENSE",
            "identifier": "0110002020",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881613032",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcriscuolo343184@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3640 NW Samaritan Dr Ste 120",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcriscuolo257262@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcriscuolo476006@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1950 NW Myhre Rd Fl 3",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983837662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.