CYNTHIA MARIE CRISWELL (FNP) – Family Nurse Practitioner, NPI 1104654888

CYNTHIA MARIE CRISWELL (FNP) is a healthcare provider. based in Aspermont, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1169177 (TX). The NPI Number for CYNTHIA MARIE CRISWELL (FNP) is 1104654888

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA MARIE CRISWELL (FNP)
NPI
1104654888
Phone
(940) 200-1094
Address
PO BOX 625
Enumeration Date
23 July 2024
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9409893551
Graduation Year
2024 (2 years ago)
PAC ID
1658804703
Group Practice PAC ID
1254228919
Professional Enrollment ID
I20241028001793
Address ID
TX795022029AS821XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for CYNTHIA MARIE CRISWELL (FNP)

  • PO BOX 625

    ASPERMONT, TX 795020625

    Phone: (940) 200-1094

    Type: Mailing

  • 821 N BROADWAY ST

    ASPERMONT, TX 795022029

    Phone: (940) 989-3551

    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: 2024-10-28

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
I20241028001793INurse PractitionerTXTBD

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 79502)

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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: 1254228919View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
-TX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

Can I verify CYNTHIA MARIE CRISWELL (FNP) with an NPI only?
You can start verification with NPI 1104654888 for CYNTHIA MARIE CRISWELL (FNP), then check state licensing separately.
Is CYNTHIA MARIE CRISWELL (FNP) still practicing?
CYNTHIA MARIE CRISWELL (FNP) is currently listed as active in the public NPI registry.
What healthcare role does CYNTHIA MARIE CRISWELL (FNP) hold?
Scheduling teams often label CYNTHIA MARIE CRISWELL (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CYNTHIA MARIE CRISWELL (FNP) based?
CYNTHIA MARIE CRISWELL (FNP) is tied to Aspermont, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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