AL JEROME CRISOLOGO CRUZ (DNP, ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1932585585
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AL JEROME CRISOLOGO CRUZ (DNP, ARNP)
31861 GATEWAY CENTER BLVD S
FEDERAL WAY, WA 980035616
Phone: (253) 652-7215
Type: Mailing
2115 S 56TH ST STE 304
TACOMA, WA 984096900
Phone: (253) 448-3271
Fax: (253) 218-6758
Type: Location
655 Golf Club Pl SE Ste A
Lacey, WA 985031089
Phone: (253) 448-3271
Fax: (253) 218-6758
Type: Location
8221 MARTIN WAY E STE E
LACEY, WA 985164743
Phone: (360) 800-6144
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,132.
Total Amount is formed as General ($1,132) + Research ($0) + Ownership ($0) = $1,132.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($328).
Total Amount
$1,132
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $328 |
| Axsome Therapeutics, Inc. | $181 |
| Corium, LLC | $123 |
| Supernus Pharmaceuticals, Inc. | $108 |
| Novo Nordisk Inc | $85 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-05-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190514003131 | I | Nurse Practitioner | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Physician Assistant | ID | |
| Clinical Psychologist | WA |
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