REBECCA E CRISWELL NP
NPI 1316314768
Nurse Practitioner in Knoxville, TN

Active since September 01, 2015PECOS EnrolledAccepts Medicare Assignment
76.17/100
CMS Quality Rating
9957 SHERRILL BLVD, KNOXVILLE, TN 37932(865) 693-2255(865) 691-7888 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2022, Feb 11, 2021 (2 updates tracked since 2021).

About Rebecca E Criswell Np NPPES

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

REBECCA E CRISWELL NP (NPI 1316314768) is an individual nurse practitioner in Knoxville, Tennessee, licensed in Tennessee (20278) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1316314768
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameREBECCA E CRISWELLCredential: NP
Location Address9957 SHERRILL BLVDKnoxville, TN 37932-3366
Mailing Address900 E Hill Ave Ste 230Knoxville, TN 37915-2565 · (865) 862-0998 · Fax (865) 544-1861
Fax(865) 691-7888
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 1, 2015
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
NPI 1316314768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TN · 20278
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 20278 (TN)
9957 SHERRILL BLVD, Knoxville, TN 37932

Accepted 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

Rebecca E Criswell Np 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 ID7416238563
PECOS Enrollment IDI20170103001041
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 37932 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.43
Promoting Interoperability87
Improvement Activities40
Cost35.04

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.

Internal Medicine (Hematology & Oncology)
9957 SHERRILL BLVD
KNOXVILLE, TN 37932
Nurse Practitioner (Family)
9957 SHERRILL BLVD
KNOXVILLE, TN 37932
Nurse Practitioner (Family)
9957 SHERRILL BLVD
KNOXVILLE, TN 37932
Nurse Practitioner (Family)
9957 SHERRILL BLVD
KNOXVILLE, TN 37932
Nurse Practitioner (Family)
9957 SHERRILL BLVD
KNOXVILLE, TN 37932
Nurse Practitioner (Family)
9957 SHERRILL BLVD
KNOXVILLE, TN 37932
Registered Nurse
9957 SHERRILL BLVD
KNOXVILLE, TN 37932
Nurse Practitioner (Gerontology)
9957 SHERRILL BLVD
KNOXVILLE, TN 37932

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 Rebecca Criswell's NPI number?

The NPI number for Rebecca Criswell is 1316314768. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Rebecca Criswell located?

Rebecca Criswell practices at 9957 Sherrill Blvd, Knoxville, TN 37932. The listed phone number is (865) 693-2255.

What is Rebecca Criswell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rebecca Criswell enrolled in Medicare?

Yes. Rebecca 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.

What insurance does Rebecca Criswell accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Rebecca 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 Rebecca Criswell was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.