NPIMap

Individual provider Active NPI

Jon Patxi Criswell, FNP-C

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1881301075
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61604 Issued in ID
Practice address
63 W Willowbrook Dr
Meridian, ID 83646-1656
Phone
(208) 888-7877
Fax
(208) 593-3671
NPI assigned
Oct 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61604 ID
Family Nurse Practitioner 363LF0000X 61604 ID Primary
Family Nurse Practitioner 363LF0000X 899421 ID

Addresses

Primary practice location

63 W Willowbrook Dr
Meridian, ID 83646-1656

Mailing address

63 W Willowbrook Dr
Meridian, ID 83646-1656
Phone (088) 887-8772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209002041 ID Practitioner - Nurse Practitioner 3173995677 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finding Home Healthcare, Inc.Group PAC ID 7517248537, 17 clinicians

Practice addresses (Care Compare)

1675 E Riverside Dr
Suite 200
Eagle, ID 83616-7473
Phone (888) 253-6598

Hospital & facility affiliations

  • Horizon Home Health Home health agency, Meridian, ID, CCN 137065
  • Bluebird Home Health Home health agency, Meridian, ID, CCN 137049
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61604IDMDFamily Nurse Practitioner
899421IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Advanced Psychiatry , LLC CurrentSince Sep 1, 2023 Accepting new patients
Azure Stone Mental Health & Wellness LLC CurrentSince Aug 20, 2025 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Perma Mental Health PLLC CurrentSince Dec 5, 2022 Accepting new patients

Locations

3271 N Milwaukee St
Boise, ID 83704
Phone (208) 629-5374

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

1675 E Riverside Dr
Ste 200
Eagle, ID 83616
Phone (208) 401-1048

63 W Willowbrook Dr
Meridian, ID 83646
Phone (208) 344-6500

2000 S Eagle Rd
Meridian, ID 83642
Phone (208) 539-6557

1672 S Woodsage Ave
Ste 120
Meridian, ID 83642
Phone (208) 515-2273

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Organizations & group practices 5

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 9

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": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1881301075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W WILLOWBROOK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461656",
            "telephone_number": "088-887-8772",
            "fax_number": "208-593-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W WILLOWBROOK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461656",
            "telephone_number": "208-888-7877",
            "fax_number": "208-593-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "JON",
        "middle_name": "PATXI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-28",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "61604",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "61604",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "899421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.