ERICA P CRISS APN
NPI 1780834747
Nurse Practitioner - Family in Fairview Heights, IL

Active since September 26, 2008PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
5 LUGWIG DRIVE, FAIRVIEW HEIGHTS, IL 62208(618) 397-9000(618) 397-9003 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Erica P Criss Apn NPPES

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

ERICA P CRISS APN (NPI 1780834747) is an individual family provider in Fairview Heights, Illinois, licensed in Illinois (209007255) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1780834747
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA P CRISSCredential: APN
Location Address5 LUGWIG DRIVEFairview Heights, IL 62208
Mailing Address6121 N Hanley RdBerkeley, MO 63134-2003 · (314) 615-0600
Fax(618) 397-9003
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 26, 2008
Last NPPES UpdateMay 10, 2018
✔ NPI 1780834747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 209007255✔ Licensed in MO · 2010036627
5 LUGWIG DRIVE, Fairview Heights, IL 62208

Other Identifiers 1

Medicaid1780834747MO

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

Erica P Criss Apn 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 ID42373227
PECOS Enrollment IDI20090114000477
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

6

Medicare enrollment records show Erica Criss reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Public Health, State or Local
6121 N HANLEY RD
Saint Louis, MO 63134
  • Reassigned Medicare billing, Missouri enrollment
  • 46 clinicians in this Medicare group
Hospice and Palliative Medicine
1110 W LAKE COOK RD STE 130A
Buffalo Grove, IL 60089
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Southerncare, Inc.
  • 15 clinicians in this Medicare group
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • Medicare enrollment name: Daniel Funsch Jr MD PC
  • 16 clinicians in this Medicare group
Behavioral Neurology & Neuropsychiatry
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • 25 clinicians in this Medicare group
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Illinois, Indiana and Missouri enrollments
  • 38 clinicians in this Medicare group
Family Medicine
1201 NE 175TH ST
Miami, FL 33162
  • Reassigned Medicare billing, Illinois enrollment
  • 39 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62208 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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 Erica Criss's NPI number?

The NPI number for Erica Criss is 1780834747. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Where is Erica Criss located?

Erica Criss practices at 5 Lugwig Drive, Fairview Heights, IL 62208. The listed phone number is (618) 397-9000.

What is Erica Criss's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erica Criss enrolled in Medicare?

Yes. Erica Criss 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 Erica Criss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Criss reassigns Medicare benefits to 6 organizations: County Of St Louis Division Of Fiscal Management (Saint Louis, MO), Ih Physician Services, PC (Buffalo Grove, IL), Daniel Funsch Jr, M.D., P.C. (New York, NY), Dr Rebman Bh LLC (New York, NY), Ivy Medical Group PLLC (New York, NY) and 1 more organization, listed in the Medicare section above. 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 Erica Criss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erica Criss was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.