Individual provider Active NPI

Virginia Lynn Critelli, MD

  • Gastroenterology Physician
  • Pensacola, FL
National Provider Identifier
1861454738
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME145120 Issued in FL
Practice address
1717 North E. Street
Suite 401
Pensacola, FL 32501
Phone
(850) 626-9626
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME145120 FL Primary

Addresses

Primary practice location

1717 North E. Street
Suite 401
Pensacola, FL 32501

Mailing address

PO Box 17567
Pensacola, FL 32522-7567
Phone (850) 626-9626

Other practice location 1

218 Hospital Dr Ste C
Blairsville, GA 30512-3143
Phone (855) 841-1337

Other practice location 2

5671 Peachtree Dunwoody Rd NE
Suite 600
Atlanta, GA 30342
Phone (404) 257-9000

Other identifiers 1

IdentifierTypeStateIssuer
108030600MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029001967 FL Practitioner - Gastroenterology 0345288866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
State University of New York at Buffalo School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

1110 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-4803
Phone (850) 437-8810

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100

125 Baptist Way
Pensacola, FL 32503-2254

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy50
Upper gastrointestinal (GI) endoscopy for acid reflux127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME145120FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC Gastroenterology CurrentSince Nov 1, 2020 Accepting new patients
Baptist Medical Group LLC CurrentSince Nov 1, 2020 Accepting new patients
The Southeast Permanente Medical Group Past Accepting new patients

Locations

123 Baptist Way
Ste 4C
Pensacola, FL 32503

125 Baptist Way
Ste 4C
Pensacola, FL 32503
Phone (448) 227-6320

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

1717 N E St
Ste 401
Pensacola, FL 32501
Phone (850) 444-7050

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1861454738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17567",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325227567",
            "telephone_number": "850-626-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NORTH E. STREET",
            "address_2": "SUITE 401",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-626-9626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Hospital Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123143",
            "country_code": "US",
            "telephone_number": "855-841-1337",
            "fax_number": "855-841-1338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5671 Peachtree Dunwoody Rd NE",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30342",
            "country_code": "US",
            "telephone_number": "404-257-9000",
            "fax_number": "404-847-9792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRITELLI",
        "first_name": "VIRGINIA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME145120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108030600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.