MELISSA CRISCILLIS CPNP-AC
NPI 1629669452
Nurse Practitioner - Acute Care in Evans, GA

Q: What is Melissa Criscillis's NPI number?

The NPI number for Melissa Criscillis is 1629669452. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Q: What is Melissa Criscillis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since February 03, 2021PECOS Enrolled

411 TOWN PARK BLVD, EVANS, GA 30809(706) 854-2500(706) 854-2559 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2024, Feb 3, 2021 (2 updates tracked since 2021).

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About Melissa Criscillis Cpnp-ac NPPES

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

MELISSA CRISCILLIS CPNP-AC (NPI 1629669452) is an individual acute care provider in Evans, Georgia, licensed in Georgia (RN180777) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1629669452

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMELISSA CRISCILLISCredential: CPNP-AC

Location Address411 TOWN PARK BLVDEvans, GA 30809-3487

Mailing Address5050 Fairfield CtAiken, SC 29801-1006 · (803) 215-9490

Phone(706) 854-2500

Fax(706) 854-2559

Sole ProprietorNo

Enumeration DateFebruary 3, 2021

Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ NPI 1629669452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · RN180777

Also ListedPediatricsTaxonomy 208000000X · License RN180777 (GA)

Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License RN180777 (GA)

411 TOWN PARK BLVD, Evans, GA 30809

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Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-4651

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Criscillis Cpnp-ac 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.

Medicare Billing Reassignments

Medicare enrollment records show Melissa Criscillis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Au Medical Associates Inc

9.1 mi

Multi-Specialty

1120 15TH ST
Augusta, GA 30912

Reassigned Medicare billing, Georgia enrollment
1,151 clinicians in this Medicare group

NPI 1841230620 (706) 721-2273

Wellstar Medical Group, LLC

131 mi

Family Medicine

11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1922405729 (678) 325-6611

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 30809 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 16

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

DR. SCOTT V. CHAPPELL M.D.

Pediatrics