JON PATXI CRISWELL FNP-C
NPI 1881301075
Nurse Practitioner - Family in Meridian, ID

Q: What is Jon Criswell's NPI number?

The NPI number for Jon Criswell is 1881301075. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Q: What is Jon Criswell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Criswell was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 28, 2022PECOS EnrolledAccepts Medicare Assignment

63 W WILLOWBROOK DR, MERIDIAN, ID 83646(208) 888-7877(208) 593-3671 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2025, Dec 22, 2022, Dec 14, 2022 and 1 more (4 updates tracked since 2022).

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About Jon Patxi Criswell Fnp-c NPPES

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

JON PATXI CRISWELL FNP-C (NPI 1881301075) is an individual family provider in Meridian, Idaho, licensed in Idaho (61604) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881301075

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJON PATXI CRISWELLCredential: FNP-C

Location Address63 W WILLOWBROOK DRMeridian, ID 83646-1656

Mailing Address63 W Willowbrook DrMeridian, ID 83646-1656 · (088) 887-8772 · Fax (208) 593-3671

Phone(208) 888-7877

Fax(208) 593-3671

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 28, 2022

Last NPPES UpdateJuly 9, 20254 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1881301075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in ID · 61604✔ Licensed in ID · 899421

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 61604 (ID)

63 W WILLOWBROOK DR, Meridian, ID 83646

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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

Jon Patxi Criswell Fnp-c 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 ID3173995677

PECOS Enrollment IDI20230209002041

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.

Areas of Expertise CMS Part B claims 5

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

130 services43 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

100 services33 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

59 services27 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

28 services28 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83646 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 4

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

TETON HEALTHCARE, INC.

Clinic/Center (Multi-Specialty)

63 W WILLOWBROOK DR
MERIDIAN, ID 83646

Ada County (208) 888-7877

TRICIA RAE REYNOLDS APRN

Nurse Practitioner (Family)

63 W WILLOWBROOK DR
MERIDIAN, ID 83646

Ada County (208) 888-7877

TETON HEALTHCARE, INC.

Home Health

63 W WILLOWBROOK DR
MERIDIAN, ID 83646

Ada County (208) 888-7877

CHRISTINE COOPER

Nurse Practitioner (Primary Care)

63 W WILLOWBROOK DR
MERIDIAN, ID 83646

Ada County (208) 888-7877

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 Jon Criswell's NPI number?

The NPI number for Jon Criswell is 1881301075. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Where is Jon Criswell located?

Jon Criswell practices at 63 W Willowbrook Dr, Meridian, ID 83646. The listed phone number is (208) 888-7877.

What is Jon Criswell's specialty?

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

Is Jon Criswell enrolled in Medicare?

Yes. Jon 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 Jon Criswell affiliated with any hospitals?

According to CMS data, Jon Criswell is affiliated with St Luke's Regional Medical Center and Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jon Criswell was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.