Carolyn Diane Crispell, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R7696 Issued in TX

Practice address

33-57 Harrison St
Johnson City, NY 13790-2107

Phone

(607) 763-6622

Fax

(607) 763-5064

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal MedicineAlso: Hospice/Palliative Care

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jason Martin Medical Consulting LLCGroup PAC ID 8325289812, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cornerstone Specialty Hospitals Round Rock Long-term care hospital, Austin, TX, CCN 452034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Jason Martin Medical Consulting LLC

  • General Practice Physician
  • Austin, TX
  • NPI 1851736243
  Medicare reassignment Care Compare group NPD
• United Health Services Hospitals, Inc.

  • Multi-Specialty Clinic/Center
  • Johnson City, NY
  • NPI 1962463851
  Medicare reassignment NPD
• United Medical Associates PC

  • Clinic/Center
  • Binghamton, NY
  • NPI 1013972801
  Medicare reassignment NPD
• Aco Jason Martin Medical Consulting

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1881578961
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095
  Medicare reassignment NPD
• United Medical Associates, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Binghamton, NY
  • NPI 1629252556
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CHG Hospital Austin, LLC

  • Rehabilitation Hospital Unit
  • Round Rock, TX
  • NPI 1396326948

  Long-term care hospital

  Care Compare affiliation
• CHG Hospital Austin, LLC

  • Long Term Care Hospital
  • Round Rock, TX
  • NPI 1912395203

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1306069265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 JEFFERSON ST",
            "address_2": "STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316206",
            "telephone_number": "607-729-8156",
            "fax_number": "607-729-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902107",
            "telephone_number": "607-763-6622",
            "fax_number": "607-763-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISPELL",
        "first_name": "CAROLYN",
        "middle_name": "DIANE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "239067",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R7696",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "239067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02886620",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Joseph Coyne, M.S., CCC-SLP
• Andrea Lynn Cranage, RN
• Patrick Crandell, PA
• Olesya Craven
• William Crawford, RPH
• James Crosby, MD
• Elizabeth Lauren Cudo
• Kaitlyn Marie Cuff, MS, OTR/L
• Tiffany Cummings-Gottlieb, PA
• Katherine T Cummiskey, PHARM.D.

• Internal Medicine Physician in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.

Verify at the official NPI Registry.