ANNA MARIE CRISWELL PMHNP
NPI 1104717057
Nurse Practitioner - Psychiatric/Mental Health in Erie, PA
About Anna Marie Criswell Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNA MARIE CRISWELL PMHNP (NPI 1104717057) is an individual psychiatric/mental health provider in Erie, Pennsylvania, licensed in Pennsylvania (SP033026) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anna Marie Criswell Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Anna Criswell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monsey, NY 10952
- Reassigned Medicare billing, Pennsylvania enrollment
- 160 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anna Criswell's NPI number?
The NPI number for Anna Criswell is 1104717057. It was assigned to this individual provider in the NPPES registry on July 10, 2025.
Where is Anna Criswell located?
Anna Criswell practices at 4850 Zuck Rd, Erie, PA 16506. The listed phone number is (718) 506-1115.
What is Anna Criswell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Anna Criswell enrolled in Medicare?
Yes. Anna Criswell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Anna Criswell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anna Criswell reassigns Medicare benefits to Supportive Care Of Pennsylvania LLC (Monsey, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anna Criswell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anna Criswell was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Anna Marie Criswell, PMHNP · NPI 1104717057
Psychiatric/Mental Health physician in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 10, 2025.
## Identity
- **NPI:** 1104717057 (Entity type: Individual)
- **Enumerated:** July 10, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP033026 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4850 ZUCK RD, Erie, PA 16506-4936
- **Phone:** (718) 506-1115
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Supportive Care Of Pennsylvania LLC (NPI 1174992275, Monsey, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104717057) · Data from the CMS NPPES public registry.