Individual provider Active NPI

Brooklyn Crisler, FNP-C

  • Nurse Practitioner
  • Auburn, AL
National Provider Identifier
1205469517
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3-000521 Issued in AL
Practice address
2353 Bent Creek Rd Ste 110
Auburn, AL 36830-6482
Phone
(334) 887-8707
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024184712 VA
Nurse Practitioner 363L00000X 3-000521 AL Primary

Addresses

Primary practice location

2353 Bent Creek Rd Ste 110
Auburn, AL 36830-6482

Mailing address

2353 Bent Creek Rd Ste 110
Auburn, AL 36830-6482
Phone (334) 887-8707

Other practice location 1

560 Devall Dr Ste 110
Auburn, AL 36832-5813
Phone (334) 887-8707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230419002553 AL Practitioner - Nurse Practitioner 9739518093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

3104 Dauphin SQ Connector
Mobile, AL 36607-2513
Phone (205) 343-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27165TNMDFamily Medicine Physician
0024184712VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern NP Associates, LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712

8002 Grelot Rd
Mobile, AL 36695
Phone (251) 435-1300

3104 Dauphin Square Conn
Mobile, AL 36607
Phone (251) 450-2800

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

Interoperability endpoints

  • Direct secure messaging: brooklyncrisler@apaam.allscriptsdirect.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1205469517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 BENT CREEK RD STE 110",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306482",
            "telephone_number": "334-887-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 BENT CREEK RD STE 110",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306482",
            "telephone_number": "334-887-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Devall Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368325813",
            "country_code": "US",
            "telephone_number": "334-887-8707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISLER",
        "first_name": "BROOKLYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024184712",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "3-000521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.