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

Jacqueline M Crisafi

Individual provider Physician Assistant · NPI 1639575095

Jacqueline M Crisafi is a Physician Assistant in Honolulu, Hawaii. Qualified in 2014, 12 years ago. Practices with Queens University Medical Group, a 623-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
12
Licensed in
HI
In the registry since
2014
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Practice location Address checks out

1301 Punchbowl St
Honolulu, HI 96813-2499
Phone: (808) 691-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD-965 (HI)

Record details

NPI number1639575095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2014
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address1301 Punchbowl St, Honolulu, HI 96813-2499

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Honolulu