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

Crystal Pennino, NP-C

Individual provider Registered Nurse · NPI 1508372277

Crystal Pennino, NP-C is a Nurse Practitioner in Ketchikan, Alaska. Qualified in 2020, 6 years ago. Practices with Ketchikan Indian Corporation, a 15-clinician group, works from 10 locations, accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
6
Licensed in
AK
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

605 Gateway Ct
Ketchikan, AK 99901-5672
Phone: (907) 228-6558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 120 Carlanna Lake Rd, Ketchikan, AK 99901-5611
  • 120 Carlanna Lake Rd, Ketchikan, AK 99901-5611 — (907) 247-9355
  • 120 Carlanna Lake Rd, Ketchikan, AK 99901
  • 120 Carlanna Lake Rd, Ketchikan, AK 99901-5611
  • 120 Carlanna Lake Rd, Ketchikan, AK 99901
  • 120 Carlanna Lake Rd, Ketchikan, AK 99901
  • 120 Carlanna Lake Rd, Ketchikan, AK 99901
  • 120 Carlanna Lake Rd, Ketchikan, AK 99901-5611
  • 120 Carlanna Lake Rd, Ketchikan, AK 99901-5611

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 166689 (AK)
Registered Nurse Taxonomy 163W00000X · Licence 22403 (AK)

Record details

NPI number1508372277
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedDecember 18, 2017
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ketchikan Indian Corporation — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ketchikan