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TIA CRISCOE
NPI 1184959066
Nurse Practitioner - Family in Monterey, TN

Active since October 09, 2009PECOS EnrolledAccepts Medicare Assignment
410 W CRAWFORD AVE, MONTEREY, TN 38574(931) 839-2244 Get Directions Write a Review

NPPES record last updated: May 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2020, Oct 17, 2019 (2 updates tracked since 2019).

About Tia Criscoe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIA CRISCOE (NPI 1184959066) is an individual family provider in Monterey, Tennessee, licensed in Tennessee (26656) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184959066
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIA CRISCOE
Location Address410 W CRAWFORD AVEMonterey, TN 38574-1122
Mailing Address410 W Crawford AveMonterey, TN 38574-1122 · (931) 839-2244
Phone(931) 839-2244
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 9, 2009
Last NPPES UpdateMay 10, 20202 updates tracked since enumeration
NPPES CertifiedMay 10, 2020
✔ NPI 1184959066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 26656
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 170981 (TN)
410 W CRAWFORD AVE, Monterey, TN 38574
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tia Criscoe 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.

PECOS PAC ID9032547054
PECOS Enrollment IDI20200325000511
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
449 services182 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
282 services83 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
209 services47 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
128 services111 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
94 services86 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
86 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38574 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 4

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

DR. JOSEPH J BACO PT, DPT
Physical Therapist
410 W CRAWFORD AVE
MONTEREY, TN 38574
Putnam County (931) 839-2244
HQM OF MONTEREY, LLC
Nursing Facility/Intermediate Care Facility
410 W CRAWFORD AVE
MONTEREY, TN 38574
Putnam County (931) 839-2244
LP MONTEREY LLC
Nursing Facility/Intermediate Care Facility
410 W CRAWFORD AVE
MONTEREY, TN 38574
Putnam County (931) 839-2244
AUSTYN KEITH EVERETT DPT
Physical Therapist
410 W CRAWFORD AVE
MONTEREY, TN 38574
Putnam County (931) 839-2244

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 Tia Criscoe's NPI number?

The NPI number for Tia Criscoe is 1184959066. It was assigned to this individual provider in the NPPES registry on October 9, 2009.

Where is Tia Criscoe located?

Tia Criscoe practices at 410 W Crawford Ave, Monterey, TN 38574. The listed phone number is (931) 839-2244.

What is Tia Criscoe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tia Criscoe enrolled in Medicare?

Yes. Tia Criscoe 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.

What insurance does Tia Criscoe accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Tia Criscoe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tia Criscoe was last updated on May 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.