SUSAN ASHLEY CRISP (NP-C) – Family Nurse Practitioner, NPI 1962601948

SUSAN ASHLEY CRISP (NP-C) is a healthcare provider. based in Orlando, Florida. specializing in Family Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. RN135490 (GA). The NPI Number for SUSAN ASHLEY CRISP (NP-C) is 1962601948

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN ASHLEY CRISP (NP-C)
NPI
1962601948
Phone
(888) 731-8994
Address
111 N Orange Ave Ste 800
Enumeration Date
11 July 2007
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2007 (19 years ago)
PAC ID
4385738012
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20191204002685

Contacts

Secure Messaging
susan.siniard.1@1498.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

Provider Addresses for SUSAN ASHLEY CRISP (NP-C)

  • 111 N Orange Ave Ste 800

    Orlando, FL 328012381

    Phone: (888) 731-8994

    Type: Location

  • 312 S 4th St Ste 700

    Louisville, KY 402023046

    Phone: (888) 731-8994

    Type: Location

  • 14355 MIRANDA WAY

    LOS ALTOS HILLS, CA 940222032

    Phone: (888) 731-8994

    Fax: (861) 833-7751

    Type: Mailing

  • 221 TECHNOLOGY PKWY NW

    ROME, GA 301651369

    Phone: (762) 235-1000

    Type: Mailing

  • 330 TURNER MCCALL BLVD SW

    ROME, GA 301655630

    Phone: (762) 235-2710

    Fax: (706) 291-2227

    Type: Location

  • 222 2nd Ave S Fl 17

    Nashville, TN 372012366

    Phone: (888) 731-8994

    Type: Location

  • 900 Old Roswell Lakes Pkwy Ste 310

    Roswell, GA 300768667

    Phone: (888) 873-1899

    Type: Location

  • 2010 Patton Chapel Rd Ste 103

    Birmingham, AL 352165783

    Phone: (888) 731-8994

    Type: Location

  • 139 Centre St Ph 120

    New York, NY 100134559

    Phone: (888) 731-8994

    Type: Location

  • 112 Maverick Ct

    Granbury, TX 760491381

    Phone: (888) 731-8994

    Type: Location

  • Roselane Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    MARIETTA, GA 300606975

    Phone: (678) 331-3297

    Fax: (678) 581-7187

    Type: Mailing

  • 200, Marketplace Boulevard, Roving Hills Estates, Cartersville, Bartow County, Georgia, 30121, United States

    CARTERSVILLE, GA 301218716

    Phone: (770) 386-7253

    Fax: (770) 382-6424

    Type: Location

  • 195 PAGE MILL RD STE 103

    PALO ALTO, CA 943062073

    Phone: (888) 731-8994

    Fax: (861) 833-7751

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $232.

Total Amount is formed as General ($232) + Research ($0) + Ownership ($0) = $232.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Astellas Pharma US Inc ($122).

Total Amount

$232

General + Research + Ownership

Payments

12

Total payment records

General Amount

$232

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191204002685INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Can I verify SUSAN ASHLEY CRISP (NP-C) with an NPI only?
You can start verification with NPI 1962601948 for SUSAN ASHLEY CRISP (NP-C), then check state licensing separately.
Does CMS list SUSAN ASHLEY CRISP (NP-C) as active?
Yes — SUSAN ASHLEY CRISP (NP-C) is active in the NPI listing used on this page.
What taxonomy line describes SUSAN ASHLEY CRISP (NP-C)?
For research purposes, treat SUSAN ASHLEY CRISP (NP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is SUSAN ASHLEY CRISP (NP-C) based?
SUSAN ASHLEY CRISP (NP-C) is tied to Orlando, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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