Active NPI
Autumn Elizabeth Crisp, CNP
- Women's Health Nurse Practitioner
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 95020313
- Practice address
- 75 Arch St Ste B1
Akron, OH 44304-1474 - Phone
- (330) 375-4844
- Fax
- (330) 375-4067
- NPI assigned
- Sep 25, 2021
- Last updated
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 95020313 | CA | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 0029806 | OH | |
| Obstetrics Physician | 207VX0000X | APRN.CNP.0029806 | OH |
Addresses
Primary practice location
75 Arch St Ste B1
Akron, OH 44304-1474
Mailing address
29054 SW Meek Loop Apt 248
Wilsonville, OR 97070-6512
Phone (216) 466-2424
Other practice location 1
450 Alaskan Way S
Seattle, WA 98104-3387
Phone (916) 798-3615
Other practice location 2
1050 SW 6th Ave
Portland, OR 97204-1156
Phone (916) 798-3615
Other practice location 3
445 S Figueroa St
Los Angeles, CA 90071-1602
Phone (916) 798-3615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
161 N Forge St
Akron, OH 44304-1483
51 Park W Blvd
Suite 200
Akron, OH 44320-4215
Phone (330) 869-9777
525 E Market St
Akron, OH 44304-1619
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0029806 | OH | MD | Obstetrics Physician |
| 95020313 | CA | MD | Women's Health Nurse Practitioner |
| 0029806 | OH | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Single Specialty | Current | Accepting new patients |
| Summa Physicians LLC | Single Specialty | Current | Accepting new patients |
| Manor Care of Salmon Creek Wa, Association | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Summa Physicians LLC | Single Specialty | Past | Accepting new patients |
Locations
1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
11100 Euclid Ave
Cleveland Heights, OH 44106
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
5125 Skyline Rd S
Salem, OR 97306
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
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.
-
dba Summa Health Medical Group
- Obstetrics & Gynecology Physician
- Akron, OH
- NPI 1235167719
Single Specialty
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Single Specialty
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Single Specialty, WA
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
dba ProMedica Skilled Nursing and Rehabilitation (Salmon Creek)
- Skilled Nursing Facility
- Vancouver, WA
- NPI 1609171081
-
dba Summa Health Medical Group
- Vascular Surgery Physician
- Akron, OH
- NPI 1891743332
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Uhcmc
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
dba University Hospitals Mentor Health Center
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
dba University Hospitals Westlake Health Center
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
dba UH Case Medical Center
- Clinic/Center
- Cleveland, OH
- NPI 1760673412
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1205507589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29054 SW MEEK LOOP APT 248",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970706512",
"telephone_number": "216-466-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ARCH ST STE B1",
"city": "AKRON",
"state": "OH",
"postal_code": "443041474",
"telephone_number": "330-375-4844",
"fax_number": "330-375-4067"
}
],
"practiceLocations": [
{
"address_1": "450 Alaskan Way S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043387",
"country_code": "US",
"telephone_number": "916-798-3615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 SW 6th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972041156",
"country_code": "US",
"telephone_number": "916-798-3615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "445 S Figueroa St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900711602",
"country_code": "US",
"telephone_number": "916-798-3615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRISP",
"first_name": "AUTUMN",
"middle_name": "ELIZABETH",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-25",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95020313",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "OH",
"license": "0029806",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "OH",
"license": "APRN.CNP.0029806",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.
- 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.