Jessica Rose Criser, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

30357 Issued in SC

Practice address

1086 London St
Myrtle Beach, SC 29577-5761

Phone

(843) 703-1027

Fax

(843) 627-4617

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, SC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Radial Health Florida PAGroup PAC ID 6901300367, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Radial Health Florida, P.a.

  • Psychiatry Physician
  • New York, NY
  • NPI 1285426874

  SC

  Medicare reassignment Care Compare group NPD
• Living Water Mental Health Brain Treatment Center

  • Psychiatry Physician
  • Myrtle Beach, SC
  • NPI 1922829365
  NPD (past)

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1750145637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 LONDON ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775761",
            "telephone_number": "843-703-1027",
            "fax_number": "843-627-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 LONDON ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775761",
            "telephone_number": "843-703-1027",
            "fax_number": "843-627-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISER",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30357",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "118656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Crawley, LPC-A
• Steven Marc Cremer, M.D.
• Sidney Lorraine Crick, PT, DPT
• Lori Kathleen Crihfield, DO
• Samantha A Crisafulli, DPT
• Anthony A Critelli, PT, DPT
• Sandra V. Croland, CCC-SLP
• Paul Crolley, LPC
• Sean James Cronauer, OD
• Justin Crosby, DO

• Psychiatric/Mental Health Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.