MIRELA CRISAN – Family Medicine Physician, NPI 1104864891

MIRELA CRISAN is a healthcare provider. based in Grove city, Ohio. specializing in FAMILY PRACTICE. They hold a License No. 35-08-3853-C (OH). The NPI Number for MIRELA CRISAN is 1104864891

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MIRELA CRISAN
NPI
1104864891
Phone
(614) 875-3592
Address
3000 Meadow Pond Ct
Enumeration Date
3 June 2006
Last Update Date
22 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142720509
Graduation Year
1995 (31 years ago)
PAC ID
2567430275
Group Practice PAC ID
0143133181
Professional Enrollment ID
I20040921000488
Address ID
OH432221087CO1601XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for MIRELA CRISAN

  • 3000 Meadow Pond Ct

    Suite 100

    Grove City, OH 431239827

    Phone: (614) 875-3592

    Fax: (614) 875-8258

    Type: Location

  • 1250 Vernonview Dr

    Mount Vernon, OH 430501447

    Phone: (740) 248-8593

    Type: Location

  • 4063 FAIRFAX DR

    COLUMBUS, OH 432204522

    Phone: (614) 256-6855

    Type: Mailing

  • 1601 W BROAD ST

    COLUMBUS, OH 432221054

    Phone: (614) 205-4596

    Type: Location

  • Box, Cleveland County, Oklahoma, United States

    CLEVELAND, OH 441930018

    Phone:

    Type: Mailing

  • 3000, Meadow Pond Court, Grove City, Jackson Township, Ohio, 43123, United States

    SUITE 100

    GROVE CITY, OH 431239827

    Phone: (614) 875-3592

    Fax: (614) 875-8258

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-09-21

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
I20040921000488IFamily PracticeOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes3624$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 43123)

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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: 0143133181View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MIRELA CRISAN in the U.S.?
In the U.S., MIRELA CRISAN is identified by NPI 1104864891.
Does the public listing show MIRELA CRISAN as active?
MIRELA CRISAN's NPI record reflects an active status in NPPES.
What services align with MIRELA CRISAN's listing?
MIRELA CRISAN's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MIRELA CRISAN?
The directory associates MIRELA CRISAN with Grove City, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains MIRELA CRISAN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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