Individual provider Active NPI

Lydia A. Critcher, MSN, FNP/AGACNP-BC

  • Family Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1508624370
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906334 Issued in MS
Practice address
100 Baptist Memorial Cir Ste 201
Oxford, MS 38655-4476
Phone
(662) 574-5293
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 906334 MS
Family Nurse Practitioner 363LF0000X 906334 MS Primary

Addresses

Primary practice location

100 Baptist Memorial Cir Ste 201
Oxford, MS 38655-4476

Mailing address

2033 Pebble Creek Loop
Oxford, MS 38655-1810
Phone (662) 574-5293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240711001291 MS Practitioner - Nurse Practitioner 2860937109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stern Cardiovascular Center, PAGroup PAC ID 2860390275, 126 clinicians

Practice addresses (Care Compare)

100 Baptist Memorial Cir
Suite 201
Oxford, MS 38655-4476
Phone (901) 271-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
906334MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stern Cardiovascular Center, PA CurrentSince Jan 4, 2026 Accepting new patients

Locations

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

100 Baptist Memorial Cir
Ste 201
Oxford, MS 38655
Phone (662) 574-5293

8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272

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.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1508624370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 PEBBLE CREEK LOOP",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551810",
            "telephone_number": "662-574-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAPTIST MEMORIAL CIR STE 201",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554476",
            "telephone_number": "662-574-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITCHER",
        "first_name": "LYDIA",
        "middle_name": "A.",
        "credential": "MSN, FNP/AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "906334",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.