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MS. CHARLENE ROBERTA THOMPSON CRISS PA-C
NPI 1760469514
Physician Assistant - Medical in New London, CT

Active since December 22, 2005
15 MOHEGAN AVE, USCG ACADEMY CLINIC, NEW LONDON, CT 06320(860) 701-6737(860) 701-6475 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Charlene Roberta Thompson Criss Pa-c NPPES

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

MS. CHARLENE ROBERTA THOMPSON CRISS PA-C (NPI 1760469514) is an individual medical provider in New London, Connecticut, licensed in New Jersey (MP00120900) and active in the NPI registry since December 2005. She maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1760469514
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. CHARLENE ROBERTA THOMPSON CRISSCredential: PA-C
Location Address15 MOHEGAN AVE, USCG ACADEMY CLINICNew London, CT 06320
Mailing AddressUscg Hq Cg-1121 2703 Mlk Jr Ave Se Mail Stop 7907Washington, DC 20593-7907 · (202) 475-5183 · Fax (270) 294-3610
Phone(860) 701-6737
Fax(860) 701-6475
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1760469514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in NJ · MP00120900✔ Licensed in CT · 001831✔ Licensed in MN · 1710
15 MOHEGAN AVE, New London, CT 06320
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Secondary Practice Location 1

Location 1Uscg Hq Cg-1121 2703 Mlk Jr Ave SE Mail Stop 7907Washington, DC 20593-7907 · Phone (202) 475-5183 · Fax (270) 294-3610

Other Identifiers 2

Other1051820National Commission On Certification Of Physician Assistants
Other001831CT · Physician Assistant

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.

BRETT TAYLOR
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8424
U. S. COAST GUARD ACADEMY
Clinic/Center (Military/U.S. Coast Guard Outpatient)
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402
MR. BRYAN KEITH ODITT APA-C
Physician Assistant (Medical)
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8207
MR. TIMOTHY G WAKSMONSKI
Emergency Medical Technician, Basic
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8408
JASON PHILLIP FARIS HEALTH SERVICES TECH
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8424
JACQUELINE MICHELLE HARRISON HS
Military Health Care Provider
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402
LINDSEY ANN MENDEZ
Dental Assistant
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 701-6999
SCHON C RUSSELL HEALTH SERVICE TECH
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402

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 Charlene Criss's NPI number?

The NPI number for Charlene Criss is 1760469514. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Charlene Criss located?

Charlene Criss practices at 15 Mohegan Ave Uscg Academy Clinic, New London, CT 06320. The listed phone number is (860) 701-6737.

What is Charlene Criss's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Charlene Criss was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.