MARSHALL JAMES CRISWELL
NPI 1508132440
Pediatrics in Lafayette, IN

Q: What is Marshall Criswell's NPI number?

The NPI number for Marshall Criswell is 1508132440. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Q: What is Marshall Criswell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Marshall Criswell was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 26, 2012PECOS Enrolled

2600 GREENBUSH ST, LAFAYETTE, IN 47904(765) 448-8000 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 1, 2021, Dec 3, 2020 (2 updates tracked since 2020).

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About Marshall James Criswell NPPES

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

MARSHALL JAMES CRISWELL (NPI 1508132440) is an individual pediatrics provider in Lafayette, Indiana, licensed in Indiana (01075036A) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508132440

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMARSHALL JAMES CRISWELL

Location Address2600 GREENBUSH STLafayette, IN 47904-2477

Mailing Address1200 W White River BlvdMuncie, IN 47303-4988 · (877) 668-5621

Phone(765) 448-8000

Sole ProprietorNo

Enumeration DateMarch 26, 2012

Last NPPES UpdateFebruary 1, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2021

✔ NPI 1508132440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01075036A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2600 GREENBUSH ST, Lafayette, IN 47904

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Other Identifiers 2

Other000000939535IN · Anthem Provider Number

Medicaid201283840IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marshall James Criswell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 47904 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

MICHELLE B HERBERTS MD

Internal Medicine (Critical Care Medicine)