SUSAN ASHLEY CRISP (NP-C) – Family Nurse Practitioner, NPI 1962601948
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $122 |
| MAYNE PHARMA COMMERCIAL LLC | $42 |
| Bayer Healthcare Pharmaceuticals Inc. | $35 |
| ABBVIE INC. | $33 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191204002685 | I | Nurse Practitioner | GA | TBD |
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.
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
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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