Active NPI
Lisdey Crispin, FNP
- Nurse Practitioner
- Loxahatchee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11038258
- Practice address
- 12953 Palms West Dr Ste 201
Loxahatchee, FL 33470-4992 - Phone
- (561) 439-0961
- NPI assigned
- Mar 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11038258 | FL | Primary |
Addresses
Primary practice location
12953 Palms West Dr Ste 201
Loxahatchee, FL 33470-4992
Mailing address
12953 Palms West Dr Ste 201
Loxahatchee, FL 33470-4992
Phone (561) 439-0961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250506001876 | FL | Practitioner - Nurse Practitioner | 2860919628 | 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
- Palm Beach General Surgery LLC
Practice addresses (Care Compare)
12953 Palms W Dr
201 Digestive Disease Center of the Pal
Loxahatchee, FL 33470-4992
Phone (561) 795-5130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11038258 | FL | MD | Nurse Practitioner |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach General Surgery LLC | Current | Accepting new patients |
Locations
12953 Palms West Dr
Ste 201
Loxahatchee, FL 33470
Phone (561) 790-2111
1924 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 357-0540
1825 SE Tiffany Ave
Ste 101
Port St Lucie, FL 34952
Phone (772) 219-4026
6705 SW 57th Ave
Ste 504
South Miami, FL 33143
Phone (305) 669-7331
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- lisdey.crispin@hca4.eclinicaldirectplus.com
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": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1821896986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12953 PALMS WEST DR STE 201",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704992",
"telephone_number": "561-439-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12953 PALMS WEST DR STE 201",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704992",
"telephone_number": "561-439-0961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISPIN",
"first_name": "LISDEY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-05",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11038258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.