Individual provider Active NPI

Cynthia Marie Criswell, FNP

  • Family Nurse Practitioner
  • Aspermont, TX
National Provider Identifier
1104654888
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1169177 Issued in TX
Practice address
821 N Broadway St
Aspermont, TX 79502-2029
Phone
(940) 989-3551
NPI assigned
Jul 23, 2024
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1169177 TX Primary

Addresses

Primary practice location

821 N Broadway St
Aspermont, TX 79502-2029

Mailing address

PO Box 625
Aspermont, TX 79502-0625
Phone (940) 200-1094

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241028001793 TX Practitioner - Nurse Practitioner 1658804703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stonewall Memorial HospitalGroup PAC ID 1254228919, 9 clinicians

Practice addresses (Care Compare)

821 N Broadway St
Aspermont, TX 79502-2029
Phone (940) 989-3551

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1169177TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stonewall Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Stonewall Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Stonewall Memorial Hospital Past Accepting new patients
Stonewall Memorial Hospital Past Accepting new patients

Locations

819 N Broadway St
Aspermont, TX 79502
Phone (940) 989-2875

821 N Broadway St
Aspermont, TX 79502
Phone (940) 989-2875

907 E Hill St
Spur, TX 79370
Phone (806) 271-3306

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1104654888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "ASPERMONT",
            "state": "TX",
            "postal_code": "795020625",
            "telephone_number": "940-200-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N BROADWAY ST",
            "city": "ASPERMONT",
            "state": "TX",
            "postal_code": "795022029",
            "telephone_number": "940-989-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1169177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspermont, TX

Sources for this page

Verify at the official NPI Registry.