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

Reginald Crisostomo, AGACNP-BC

Individual provider Registered Nurse · NPI 1245809557

Reginald Crisostomo, AGACNP-BC is a Nurse Practitioner in Napa, California. Qualified in 2020, 6 years ago. Practices with Pulmonary Medicine Associates Medical Group Inc, a 92-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1000 Trancas St
Napa, CA 94558-2906
Phone: (707) 252-4412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95017567 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95017567 (CA)

Record details

NPI number1245809557
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

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 Pulmonary Medicine Associates Medical Group Inc. — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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