Active NPI
Timothy John Criscuolo, PA-C
- Physician Assistant
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60921551
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2125665 | Medicaid | WA | |
| 0110002020 | Other | VA | PHYSICIAN ASST LICENSE |
| 1881613032 | Medicaid | VA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003471 | GA | MD | Psychologist |
| PA228610 | OR | MD | Physician Assistant |
| 0110002020 | VA | MD | Physician Assistant |
| PA60921551 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Multicare Health System | Physician Assistant | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Inova Health Care Services | Current | 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 | Past | 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
- tcriscuolo235244@direct-ucsfmedicalcenter.org
- tcriscuolo343184@samhealth.direct-ci.com
- 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.
-
dba Franciscan Orthopedics-Silverdale
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
dba Good Samaritan Regional Medical Center
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Lucile Salter Packard Children's Hospital at Stanford
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
dba UCSF Dept of Medicine General Medicine
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
dba UCSF Medical Center
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Olympic Medical Center
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
dba Jefferson Healthcare Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
-
dba Jefferson Healthcare
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
dba Sleep Medicine, Jefferson Healthcare
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.