Robin A Criswell, NP
Individual provider Active NPI Nurse Practitioner · Augusta, GA
NPI 1194013201 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1194013201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN151479 (GA)
- Practice address
- 3651 Wheeler Rd
Augusta, GA 30909-6521 - Phone
- (706) 651-3232
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Health Care Authority of the City of Anniston
Practice addresses (Care Compare)
400 E 10TH St
Anniston, AL 36202-4716
Phone (256) 235-5860
Hospital & facility affiliations
- Northeast Alabama Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160728000761 | AL | Practitioner - Nurse Practitioner | 1355510330 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN151479 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health Care Authority of the City of Anniston | Current | Accepting new patients | |
| The Health Care Authority of the City of Anniston | Current |
Accepting new patients | |
| Anniston Pathology | Current | Accepting new patients | |
| The Health Care Authority of the City of Anniston | Current |
Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
Interoperability endpoints
- https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN151479 | GA | Yes |
Addresses
Primary practice location
3651 Wheeler Rd
Augusta, GA 30909-6521
Mailing address
PO Box 2208
Dept 40227
Anniston, AL 36202-2208
Phone (256) 235-5121
Other providers in Augusta, GA
- Lindsay King Crews
- Crystal Crick
- Latisha Crick
- Jay Drennen Crim
- Jody Christopher Criswell
- Critical Solutions Inc
- Erin Bailey Crittenden
- Apryl Cronley
- Gary G Crook
- Molly Camille Crook
All providers in Augusta, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.