Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carol Claire Crisostomo, CRNP

Individual provider Registered Nurse · NPI 1518770858

Carol Claire Crisostomo, CRNP is a Nurse Practitioner in Gaithersburg, Maryland. Qualified in 2025, 1 year ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
1
Licensed in
MD, VA
In the registry since
2025
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

818 W Diamond Ave Ste 130
Gaithersburg, MD 20878-1417
Phone: (301) 409-0515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 W Edmonston Dr Ste 404, Rockville, MD 20852-1274 — (301) 409-0515

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AC007885 (MD)
Registered Nurse Taxonomy 163W00000X · Licence 0001281517 (VA)

Record details

NPI number1518770858
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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