Active NPI
Jeffrey Scott Criswell, CPNP-AC
- Pediatric Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN.CNP.021628
- Practice address
- 555 S 18TH St
Columbus, OH 43205-2654 - Phone
- (614) 722-2000
- NPI assigned
- Nov 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.021628 | OH | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN.CNP.021628 | OH | Primary |
Addresses
Primary practice location
555 S 18TH St
Columbus, OH 43205-2654
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-6200
Other practice location 1
455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-2000
Other practice location 2
7853 Pacer Dr
Delaware, OH 43015-7571
Phone (614) 722-2000
Other practice location 3
150 W Main St
New Albany, OH 43054-9229
Phone (614) 722-2000
Other practice location 4
100 Colemans Xing
Marysville, OH 43040-7080
Phone (614) 722-2000
Other practice location 5
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-2000
Other practice location 6
536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-2000
Other practice location 7
1644 N Limestone St
Springfield, OH 45503-2652
Phone (614) 722-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0253909 | Medicaid | OH | |
| H587890 | Other | OH | CGS-MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Children'S Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
700 Childrens Dr
Columbus, OH 43205-2664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.021628 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Surgical Associates, Corporation | Acute Care | Current | Accepting new patients |
| Nationwide Children'S Hospital | Past | Accepting new patients |
Locations
555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900
536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150
100 Colemans Crossing Blvd
Marysville, OH 43040
Phone (937) 578-7600
150 W Main St
New Albany, OH 43054
Phone (614) 355-6054
455 Executive Campus Dr
Westerville, OH 43082
Phone (614) 355-6100
Organizations & group practices 2
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.
-
- Pediatric Surgery Physician
- Columbus, OH
- NPI 1417905324
Acute Care
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1295249555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S 18TH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052654",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [
{
"address_1": "455 Executive Campus Dr",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430828870",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7853 Pacer Dr",
"address_purpose": "LOCATION",
"city": "Delaware",
"state": "OH",
"postal_code": "430157571",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 W Main St",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "OH",
"postal_code": "430549229",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Colemans Xing",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "OH",
"postal_code": "430407080",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43205",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "536 S Trimble Rd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449063418",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1644 N Limestone St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OH",
"postal_code": "455032652",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRISWELL",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"credential": "CPNP-AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-24",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.021628",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "APRN.CNP.021628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0253909",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CGS-MEDICARE",
"identifier": "H587890",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.