Jacqueline M. Crisafi
NPI 1639575095ActiveIndividual· Physician Assistant· Honolulu, HI
Physician Assistant with Queens University Medical Group, practicing in Honolulu, Hawaii. Mostly services rather than prescriptions: Medicare paid $7,847 for 59 patients in 2024, with only 16 Part D claims. Ucb, Inc. reported $181.16 in payments in 2024, mostly food and beverage. Lists The Queens Medical Center as a hospital affiliation.
Overview
| NPI | 1639575095 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 13, 2014 |
| Last updated in NPPES | Jan 2, 2025 |
| Certified by provider | Jan 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | AMD-965 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (HI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 59 |
|---|---|
| Services billed | 114 across 14 procedure codes |
| Paid by Medicare | $7,847 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16 · 16 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $66.32 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Queens University Medical GroupHonolulu, HI · 614 clinicians
Hospital affiliation
- The Queens Medical CenterHonolulu, HI
Industry payments (Open Payments)
- 2024$181.16 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ucb, Inc. | $181.16 | 2 |
What the 2024 payments were for
- Food and Beverage$181.16 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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