REBECCA E CRISWELL NP
NPI 1316314768
Nurse Practitioner in Knoxville, TN
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
Specialties & Licenses 2
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Rebecca Criswell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Knoxville, TN 37922
- Reassigned Medicare billing, Tennessee enrollment
- 1,003 clinicians in this Medicare group
Knoxville, TN 37919
- Reassigned Medicare billing, Tennessee enrollment
- 66 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 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.
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.
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.
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.
Which organizations bill Medicare for Rebecca Criswell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Criswell reassigns Medicare benefits to 2 organizations: Summit Medical Group, PLLC (Knoxville, TN) and Tennessee Cancer Specialists, PLLC (Knoxville, TN). Each 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 Rebecca Criswell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Criswell accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare 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 4 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.
# Rebecca E Criswell, NP · NPI 1316314768
Nurse Practitioner physician in Knoxville, Tennessee. Individual provider, active in the CMS NPPES registry since September 1, 2015.
## Identity
- **NPI:** 1316314768 (Entity type: Individual)
- **Enumerated:** September 1, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 20278 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 9957 SHERRILL BLVD, Knoxville, TN 37932-3366
- **Phone:** (865) 693-2255 · **Fax:** (865) 691-7888
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Summit Medical Group, PLLC (NPI 1215016506, Knoxville, TN); Tennessee Cancer Specialists, PLLC (NPI 1407201882, Knoxville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1316314768) · Data from the CMS NPPES public registry.