Sandra Alison Criscuolo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

005924 Issued in CT

Practice address

27 Sycamore St Ste 100
Glastonbury, CT 06033-7208

Phone

(860) 659-0581

NPI assigned

Dec 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Afc Physicians of Connecticut PCGroup PAC ID 5193966893, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Hospital Hospital, Hartford, CT, CCN 070025
• St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sandra.criscuolo.1@31712.direct.athenahealth.com

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.

• Afc Physicians of Connecticut, PC

  • Urgent Care Clinic/Center
  • Danbury, CT
  • NPI 1003152984
  Medicare reassignment Care Compare group NPD
• Prime Healthcare, PC

  • Internal Medicine Physician
  • Wethersfield, CT
  • NPI 1184819302

  Family

  Medicare reassignment Care Compare group NPD
• Afc Physicians of Connecticut, PC

  • Urgent Care Clinic/Center
  • West Hartford, CT
  • NPI 1255752945
  NPD
• Afc Physicians of Connecticut, PC

  • Urgent Care Clinic/Center
  • Rocky Hill, CT
  • NPI 1285387530
  NPD
• Prime Healthcare (Sleep Lab)

  • Sleep Disorder Diagnostic Clinic/Center
  • Wethersfield, CT
  • NPI 1184832354
  NPD

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

• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1902834880
  Care Compare affiliation
• Saint Francis Hospital and Medical Center

  • Psychiatric Hospital Unit
  • Hartford, CT
  • NPI 1144234428
  Care Compare affiliation
• Saint Francis Hospital and Medical Center

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1407833486
  Care Compare affiliation
• Saint Francis Hospital and Medical Center

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1871713495
  Care Compare affiliation

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1487052189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JORDAN LN",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091278",
            "telephone_number": "860-263-0253",
            "fax_number": "860-263-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SYCAMORE ST STE 100",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060337208",
            "telephone_number": "860-659-0581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Hartford Tpke",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "CT",
            "postal_code": "060665242",
            "country_code": "US",
            "telephone_number": "860-288-4101",
            "fax_number": "860-647-8834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISCUOLO",
        "first_name": "SANDRA",
        "middle_name": "ALISON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scriscuolo148436@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Prime Healthcare Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "27 Sycamore St Ste 100",
            "city": "Glastonbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060337208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christi R. Craig, LCSW
• Steven L Craig, MD
• Kyle Crandall
• Creative Motivations
• Lauren Criniti, CCC-SLP
• Dana K Cross, DPT
• Tanisha Cross, MASSAGE THERAPIST
• Lenore S. Crosson, FNP-BC
• Ginger Crowe, L.O.
• Csa Medical LLC

• Family Nurse Practitioner in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.