Individual provider Active NPI

Lisdey Crispin, FNP

  • Nurse Practitioner
  • Loxahatchee, FL
National Provider Identifier
1821896986
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11038258 Issued in FL
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

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 1456455021, 69 clinicians

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

LicenseStateTypeSpecialty
11038258FLMDNurse Practitioner

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC CurrentSince Jun 30, 2025 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.