Audrey Young Crissman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00040205 Issued in WA

Practice address

3216 NE 45TH PL Ste 301
Seattle, WA 98105-4028

Phone

(206) 339-3360

Fax

(206) 212-1100

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Audrey Young Other name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Washington School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.73 of 100Reported as apm

Quality

73.46

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: audrey.young@660831683411972.direct.elationemr.com

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

• King County Public Hospital District No 2

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment Care Compare group NPD
• King County Finance

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1306903604
  Medicare reassignment NPD
• King County Finance

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1518593904
  NPD
• King County Public Hospital District No. 2

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD
• King County Public Hospital District No. 2

  • Community/Behavioral Health Agency
  • Kirkland, WA
  • NPI 1538213327
  NPD
• King County Public Hospital District No 2

  • Internal Medicine Physician
  • Kirkland, WA
  • NPI 1467542639
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1982761110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 NE 45TH PL STE 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054028",
            "telephone_number": "206-339-3360",
            "fax_number": "206-212-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 NE 45TH PL STE 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054028",
            "telephone_number": "206-339-3360",
            "fax_number": "206-212-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12040 NE 128th St",
            "address_2": "MS 105",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343013",
            "country_code": "US",
            "telephone_number": "425-899-2560",
            "fax_number": "425-899-2079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG CRISSMAN",
        "first_name": "AUDREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00040205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "185190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110239573",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8319576",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "YOUNG",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kleber Yotsumoto Fertrin, MD, PHD
• Brandon Yotsuuye
• You Grow Girl
• Heeji Youn
• Juhyun Youn
• Young Dermatology PLLC
• Young Womens Christian Association of Seattle King County Snohomis Cou
• Aleece Renee Young
• Alison Z Young, MD
• Andrew Mitchel Young, SOCIAL WORKER LMSW

• Internal Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.

Verify at the official NPI Registry.