Individual provider Active NPI

Constance Susan Criswell, CRNA

  • Certified Registered Nurse Anesthetist
  • Willits, CA
National Provider Identifier
1114905122
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3189 Issued in CA
Practice address
1 Madrone St
Willits, CA 95490-4225
Phone
(707) 456-3171
NPI assigned
Jan 9, 2006
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3189 CA Primary

Addresses

Primary practice location

1 Madrone St
Willits, CA 95490-4225

Mailing address

1 Madrone St
Willits, CA 95490-4225
Phone (707) 456-3171

Other names 1

  • Constance Susan Drummond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051128000488 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880672534 Reassigns benefits to 3 organizations
Practice locations: Willits, CA; Ukiah, CA

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians

Practice addresses (Care Compare)

1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
35500NEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ukiah Adventist Hospital CurrentSince Sep 1, 2019 Accepting new patients
Willits Hospital Inc. CurrentSince Feb 7, 2005 Accepting new patients
Ukiah Adventist Hospital CurrentSince Feb 7, 2005 Accepting new patients
Creighton University Past Accepting new patients
Offsite Care, Inc Past Accepting new patients
Creighton University Past Accepting new patients

Locations

271 Observatory Ave
Ukiah, CA 95482
Phone (707) 462-2299

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

1 Madrone St
#R
Willits, CA 95490
Phone (707) 459-6801

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Organizations & group practices 6

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 1

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1114905122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MADRONE ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904225",
            "telephone_number": "707-456-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MADRONE ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904225",
            "telephone_number": "707-456-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "CONSTANCE",
        "middle_name": "SUSAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "DRUMMOND",
            "middle_name": "SUSAN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willits, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.