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JEFFREY SCOTT CRISWELL CPNP-AC
NPI 1295249555
Nurse Practitioner - Pediatrics in Columbus, OH

Active since November 24, 2017PECOS EnrolledAccepts Medicare Assignment
555 S 18TH ST, COLUMBUS, OH 43205(614) 722-2000 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 25, 2022, Jun 13, 2018, Dec 12, 2017 and 2 more (5 updates tracked since 2017).

About Jeffrey Scott Criswell Cpnp-ac NPPES

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

JEFFREY SCOTT CRISWELL CPNP-AC (NPI 1295249555) is an individual pediatrics provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.021628) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295249555
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameJEFFREY SCOTT CRISWELLCredential: CPNP-AC
Location Address555 S 18TH STColumbus, OH 43205-2654
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-6200
Phone(614) 722-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 24, 2017
Last NPPES UpdateApril 24, 20255 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
✔ NPI 1295249555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OH · APRN.CNP.021628
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN.CNP.021628 (OH)
555 S 18TH ST, Columbus, OH 43205
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1455 Executive Campus DrWesterville, OH 43082-8870 · Phone (614) 722-2000
Location 27853 Pacer DrDelaware, OH 43015-7571 · Phone (614) 722-2000
Location 3150 W Main StNew Albany, OH 43054-9229 · Phone (614) 722-2000
Location 4100 Colemans XingMarysville, OH 43040-7080 · Phone (614) 722-2000
Location 5700 Childrens DrColumbus, OH 43205 · Phone (614) 722-2000
Location 6536 S Trimble RdMansfield, OH 44906-3418 · Phone (614) 722-2000
Location 71644 N Limestone StSpringfield, OH 45503-2652 · Phone (614) 722-2000

Other Identifiers 2

Medicaid0253909OH
OtherH587890OH · Cgs-medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and more.Insurance ›

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

Jeffrey Scott Criswell Cpnp-ac 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 ID5294093134
PECOS Enrollment IDI20171221002654
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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Criswell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Surgical Associates, Corporation
0.1 mi
Pediatric Surgery
700 CHILDREN'S DRIVE
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 211 clinicians in this Medicare group
NPI 1417905324 (614) 722-2000

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 43205 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

LORIE D HAMIWKA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-4634
DR. ERIC STEVE MULL D.O
Pediatrics (Pediatric Pulmonology)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-2000
JOHN DONALD MAHAN MD
Pediatrics (Pediatric Nephrology)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-4362
ROBERT DAVID MURRAY MD
Pediatrics (Pediatric Gastroenterology)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-4089
BENEDICTA G ENRILE MD
Pediatrics (Neurodevelopmental Disabilities)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-2438
WILLIAM MATTHEW SMILEY DO
Pediatrics
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-4950
SARAH K. DRIESBACH FNP
Nurse Practitioner (Family)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-2000
KENDRA ELAINE BRUNNER APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
555 S 18TH ST
COLUMBUS, OH 43205
Franklin County (614) 722-2000

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 Jeffrey Criswell's NPI number?

The NPI number for Jeffrey Criswell is 1295249555. It was assigned to this individual provider in the NPPES registry on November 24, 2017.

Where is Jeffrey Criswell located?

Jeffrey Criswell practices at 555 S 18th St, Columbus, OH 43205. The listed phone number is (614) 722-2000.

What is Jeffrey Criswell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jeffrey Criswell enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Criswell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Criswell reassigns Medicare benefits to Children's Surgical Associates, Corporation (Columbus, OH). 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 Jeffrey Criswell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Criswell accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and UnitedHealthcare list Jeffrey Criswell 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 Jeffrey Criswell was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.