SAMANTHA CRISWELL
NPI 1417764002
Nurse Practitioner - Primary Care in Lexington, KY

Active since December 17, 2024PECOS EnrolledAccepts Medicare Assignment
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 260-6100 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Criswell NPPES

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

SAMANTHA CRISWELL (NPI 1417764002) is an individual primary care provider in Lexington, Kentucky, licensed in Kentucky (4031568) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417764002
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSAMANTHA CRISWELL
Location Address1740 NICHOLASVILLE RDLexington, KY 40503-1431
Mailing Address4218 Reserve Rd Apt 304Lexington, KY 40514-4069
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
NPI 1417764002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in KY · 4031568
1740 NICHOLASVILLE RD, Lexington, KY 40503

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

Samantha Criswell 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 ID9638691488
PECOS Enrollment IDI20250320003330
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Physician Assistant
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Hospitalist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Radiology (Diagnostic Radiology)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL
LEXINGTON, KY 40503
Internal Medicine
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Anesthesiology
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

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 Samantha Criswell's NPI number?

The NPI number for Samantha Criswell is 1417764002. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Samantha Criswell located?

Samantha Criswell practices at 1740 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 260-6100.

What is Samantha Criswell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Samantha Criswell enrolled in Medicare?

Yes. Samantha 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.

Is Samantha Criswell affiliated with any hospitals?

According to CMS data, Samantha Criswell is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Samantha Criswell was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.