Individual provider Active NPI

Miriam Faith Criswell, WHNP

  • Women's Health Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1578825444
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
17839 Issued in SC
Practice address
727 SE Main St Ste 120
Simpsonville, SC 29681
Phone
(864) 454-6500
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 17839 SC Primary

Addresses

Primary practice location

727 SE Main St Ste 120
Simpsonville, SC 29681

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-2286

Other practice location 1

124 Verdae Blvd Ste 204
Greenville, SC 29607-3844
Phone (864) 271-9780

Other practice location 2

1409 W Georgia Rd Ste D
Simpsonville, SC 29680-6420
Phone (864) 545-6500

Other identifiers 1

IdentifierTypeStateIssuer
NP2059MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20120801000010 SC Practitioner - Nurse Practitioner 5597921841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

727 SE Main St
Suite 120
Simpsonville, SC 29681-3248
Phone (864) 454-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince May 28, 2018 Accepting new patients
Prisma Health University Medical Group CurrentSince May 28, 2018 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

2 Memorial Medical Dr
Greenville, SC 29605
Phone (864) 295-4210

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

727 SE Main St
Ste 120
Simpsonville, SC 29681
Phone (864) 454-6500

1409 W Georgia Rd
Ste D
Simpsonville, SC 29680
Phone (864) 454-6540

Interoperability endpoints

  • Direct secure messaging: mcriswell159276@direct.ghs.myhfn.org

Organizations & group practices 3

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1578825444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SE MAIN ST STE 120",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-454-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Verdae Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073844",
            "country_code": "US",
            "telephone_number": "864-271-9780",
            "fax_number": "864-271-9785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1409 W Georgia Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296806420",
            "country_code": "US",
            "telephone_number": "864-545-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "MIRIAM",
        "middle_name": "FAITH",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SC",
            "license": "17839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2059",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.