MR. CODY LAWRENCE CRISMAN AGACNP-BC
NPI 1134713555
Nurse Practitioner - Acute Care in Victoria, TX
About Mr. Cody Lawrence Crisman Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CODY LAWRENCE CRISMAN AGACNP-BC (NPI 1134713555) is an individual acute care provider in Victoria, Texas, licensed in Texas (1030954) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.
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 (PECOS)
Mr. Cody Lawrence Crisman Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cody Crisman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- 5 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 77901 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VICTORIA, TX 77901
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 Cody Crisman's NPI number?
The NPI number for Cody Crisman is 1134713555. It was assigned to this individual provider in the NPPES registry on February 25, 2021.
Where is Cody Crisman located?
Cody Crisman practices at 605 E San Antonio St Ste 430E, Victoria, TX 77901. The listed phone number is (361) 576-0011.
What is Cody Crisman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Cody Crisman enrolled in Medicare?
Yes. Cody Crisman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cody Crisman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cody Crisman reassigns Medicare benefits to Victoria Kidney & Dialysis Associates (Victoria, TX). 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 Cody Crisman'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 Cody Crisman was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Mr. Cody Lawrence Crisman, AGACNP-BC · NPI 1134713555
Acute Care physician in Victoria, Texas. Individual provider, active in the CMS NPPES registry since February 25, 2021.
## Identity
- **NPI:** 1134713555 (Entity type: Individual)
- **Enumerated:** February 25, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1030954 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 605 E SAN ANTONIO ST STE 430E, Victoria, TX 77901-6007
- **Phone:** (361) 576-0011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Victoria Kidney & Dialysis Associates (NPI 1770545873, Victoria, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1134713555) · Data from the CMS NPPES public registry.