Michael Corey Cricchio, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

594188 Issued in TX

Practice address

1205 Central Texas Expy
Lampasas, TX 76550-3388

Phone

(512) 556-5362

Fax

(512) 556-8004

NPI assigned

Apr 8, 2008

Last updated

Jul 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20019/brand/1/csg/1/fhir/r4
• Direct secure messaging: michael.cricchio.1@20019.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascension Seton

  dba SEBD Professional Support Services

  • Family Medicine Physician
  • Luling, TX
  • NPI 1215118609
  Medicare reassignment NPD
• Ascension Seton

  dba SHL Professional Support Services

  • Family Medicine Physician
  • Burnet, TX
  • NPI 1073536900
  NPD
• Ascension Seton

  dba Ascension Seton Smithville

  • Medicare Defined Swing Bed Hospital Unit
  • Smithville, TX
  • NPI 1598590101
  NPD
• Shaw Pain Clinic PLLC

  • Interventional Pain Medicine Physician
  • Marble Falls, TX
  • NPI 1104479146
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1073786448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1219",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786117219",
            "telephone_number": "512-556-5362",
            "fax_number": "512-556-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 CENTRAL TEXAS EXPY",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765503388",
            "telephone_number": "512-556-5362",
            "fax_number": "512-556-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRICCHIO",
        "first_name": "MICHAEL",
        "middle_name": "COREY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "594188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Texas Psychological Associates, PLLC
• Central Texas Serenity Caregivers LLC
• Ashley D Chamberland, M.D.
• Justin Chambers, PTA
• Coryell County Memorial Hospital Authority (Regal Healthcare Residence)
• Raphael Ricardo Cudera
• Sharon Cutbirth, LPC
• Johnna Stotts Davis, MSN, FNP-BC
• Danae De Guelle
• Janice Williams Denson, LCSW

• Nurse Practitioner in Lampasas, TX
• Providers in Lampasas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.