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MR. CODY LAWRENCE CRISMAN AGACNP-BC
NPI 1134713555
Nurse Practitioner - Acute Care in Victoria, TX

Active since February 25, 2021PECOS Enrolled
605 E SAN ANTONIO ST STE 430E, VICTORIA, TX 77901(361) 576-0011 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1134713555
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. CODY LAWRENCE CRISMANCredential: AGACNP-BC
Location Address605 E SAN ANTONIO ST STE 430EVictoria, TX 77901-6007
Mailing Address501 Blyth RdVictoria, TX 77904-2823 · (361) 208-5781
Phone(361) 576-0011
Sole ProprietorNo
Enumeration DateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
✔ NPI 1134713555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1030954
605 E SAN ANTONIO ST STE 430E, Victoria, TX 77901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEORGE AMECHI OSUCHUKWU M.D.
Internal Medicine (Nephrology)
605 E SAN ANTONIO ST STE 430E
VICTORIA, TX 77901
Victoria County (361) 576-0011

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.

When was this NPI record last updated?

The NPPES record for Cody Crisman was last updated on February 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.