Rebecca E Criswell, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

20278 Issued in TN

Practice address

9957 Sherrill Blvd
Knoxville, TN 37932-3366

Phone

(865) 693-2255

Fax

(865) 691-7888

NPI assigned

Sep 1, 2015

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Cancer Specialists PLLCGroup PAC ID 1658358171, 69 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65.8 of 100Reported as group

Quality

92.22

Promoting interoperability

0

Improvement activities

40

Cost

68.61

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Covenant Living at Shannondale

  dba Shannondale of Maryville

  • Skilled Nursing Facility
  • Maryville, TN
  • NPI 1396742334

  Corporate Director

  CMS ownership
• Presbyterian Homes of Tennessee, Inc.

  dba Shannondale Health Care Center

  • Skilled Nursing Facility
  • Knoxville, TN
  • NPI 1316944887

  Corporate Director

  CMS ownership

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.

• Tennessee Cancer Specialists PLLC

  • Hematology & Oncology Physician
  • Knoxville, TN
  • NPI 1841228871
  Medicare reassignment Care Compare group NPD
• Summit Medical Group, PLLC

  dba Cool Springs Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment NPD
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1548349186

  Nurse Practitioner

  NPD
• Tennessee Cancer Specialist PLLC

  dba Greeneville Office

  • Hematology & Oncology Physician
  • Greeneville, TN
  • NPI 1871301358
  NPD

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1316314768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9957 SHERRILL BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323366",
            "telephone_number": "865-693-2255",
            "fax_number": "865-691-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "20278",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrie Liane Cribbs, DDS
• Rebecca A Crippen
• Jonathan Eric Crisp
• Dorothy J Crist, LPC LEAP
• Jeffrey R Crist, MD
• Kamary Crocker
• Kira Crocker, LMSW
• Mariko Crocker, DDS
• Robert Orr Crocker, MD
• Germaine T Crockett, PSYD

• Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.