Individual provider Active NPI

Eli Crisler

  • Family Nurse Practitioner
  • Waynesboro, VA
National Provider Identifier
1437814068
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024183073 Issued in VA
Practice address
2611 W Main St
Waynesboro, VA 22980-1600
Phone
(540) 221-6702
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 0024183073 VA
Family Nurse Practitioner 363LF0000X 0024183073 VA Primary

Addresses

Primary practice location

2611 W Main St
Waynesboro, VA 22980-1600

Mailing address

1647 Mulberry Ave
Charlottesville, VA 22903-3705
Phone (434) 490-8053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20211208001875 VA Practitioner - Nurse Practitioner 1456741339 Reassigns benefits to 1 organization

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
Valley Dermatology, LLCGroup PAC ID 0345535043, 4 clinicians

Practice addresses (Care Compare)

2611 W Main St
Suite 1
Waynesboro, VA 22980-1600
Phone (540) 221-6702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024183073VAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Dermatology, LLC CurrentSince Nov 29, 2021 Accepting new patients

Locations

2611 W Main St
Waynesboro, VA 22980
Phone (540) 221-6702

2611 W Main St
Ste 1
Waynesboro, VA 22980
Phone (540) 221-6702

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1437814068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 MULBERRY AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229033705",
            "telephone_number": "434-490-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 W MAIN ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801600",
            "telephone_number": "540-221-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISLER",
        "first_name": "ELI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VA",
            "license": "0024183073",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

Verify at the official NPI Registry.