Criselle Smith, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3485 Issued in AZ

Practice address

3703 Columbus Ave
Sandusky, OH 44870-5707

Phone

(419) 625-8085

Fax

(419) 625-6004

NPI assigned

Nov 22, 2006

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

Other names 1

• Criselle Figueroa Beverick Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

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.

• DHHS IHS Phoenix Area

  • Clinic/Center
  • Peach Springs, AZ
  • NPI 1265719934

  TX

  Medicare reassignment NPD
• DHHS IHS Phoenix Area

  • Federal Public Health Clinic/Center
  • Havasu Lake, CA
  • NPI 1396022026

  TX

  Medicare reassignment NPD
• DHHS PHS IHS Phoenix Area

  • Clinic/Center
  • Winterhaven, CA
  • NPI 1265719918

  TX

  Medicare reassignment NPD
• Rosebud Indian Health Service

  • General Acute Care Hospital
  • Rosebud, SD
  • NPI 1194757369

  TX

  Medicare reassignment NPD
• DHHS IHS Phoenix

  • Clinic/Center
  • Supai, AZ
  • NPI 1184901829
  NPD
• DHHS IHS Phoenix Area

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1851678585
  NPD
• Rosebud Indian Health Service

  • Ambulatory Surgical Clinic/Center
  • Rosebud, SD
  • NPI 1790955128
  NPD
• Sandusky Wellness Center Inc

  • Chiropractor
  • Sandusky, OH
  • NPI 1356486187
  NPD (past)
• Sandusky Wellness DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Sandusky, OH
  • NPI 1134534225
  NPD (past)
• Klinic Medical PLLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1740980630
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1366517385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 COLUMBUS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705707",
            "telephone_number": "419-625-8085",
            "fax_number": "419-625-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 COLUMBUS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705707",
            "telephone_number": "419-625-8085",
            "fax_number": "419-625-6004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 Windham Pl S",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448707245",
            "country_code": "US",
            "telephone_number": "419-239-9502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28272 Canal Ave",
            "address_purpose": "LOCATION",
            "city": "Wellton",
            "state": "AZ",
            "postal_code": "853564572",
            "country_code": "US",
            "telephone_number": "419-239-9502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRISELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "206081",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0039977",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339468",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISELLE",
            "last_name": "BEVERICK",
            "middle_name": "FIGUEROA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelly Lynn Sluss
• Amelia Ann Smith, PHD, PMHCNS,BC
• Austen M Smith, DO
• Cassandra Hope Smith, DPM
• Chelsee Ty Smith, LPC
• Dane Smith
• Dannon C Smith, FNP-C
• Donald L. Smith Jr., MD
• Helen Elisabeth Smith, LPCC
• Jennifer K Smith

• Family Nurse Practitioner in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.