Active NPI
Miriam Faith Criswell, WHNP
- Women's Health Nurse Practitioner
- Simpsonville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 17839
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2059 | Medicaid | SC |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | 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
- 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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.