Jessie Louise Criswell, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-113971 Issued in AL

Practice address

227 Hospital Dr
Jackson, AL 36545-2423

Phone

(251) 246-4446

Fax

(251) 246-5111

NPI assigned

Feb 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of Jackson Healthcare AuthorityGroup PAC ID 2062950199, 16 clinicians

GHS JMC Clinics LLCGroup PAC ID 6800191107, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Medical Center Hospital, Jackson, AL, CCN 010128

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.

• City of Jackson Healthcare Authority

  • Family Medicine Physician
  • Jackson, AL
  • NPI 1366808404
  Medicare reassignment Care Compare group NPD
• Imc-Family Medical of Jackson, PC

  • Rural Health Clinic/Center
  • Jackson, AL
  • NPI 1750393682
  Medicare reassignment NPD
• City of Jackson Healthcare Authority

  • Home Health Agency
  • Jackson, AL
  • NPI 1770593204
  NPD

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

• City of Jackson Healthcare Authority

  • Rural Acute Care Hospital
  • Jackson, AL
  • NPI 1952427874
  Care Compare affiliation

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1992244206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 HOSPITAL DR",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452423",
            "telephone_number": "251-246-4446",
            "fax_number": "251-246-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 HOSPITAL DR",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452423",
            "telephone_number": "251-246-4446",
            "fax_number": "251-246-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "JESSIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-113971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Jackson Health Care Authority
• City of Jackson Healthcare Authority
• City of Jackson Healthcare Authority
• City of Jackson Healthcare Authority
• Clubhouse Autism and Developmental Center LLC
• Sidney S Crosby, MD
• Crystal'S Helping Hand'S
• Jennifer Tolbert Dowling, CRNP
• Kimberly P Duff
• Robert Edward Edge, O.D.

• Nurse Practitioner in Jackson, AL
• Providers in Jackson, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.