PAMELA PROCTOR CRISCITIELLO (AGPCNP, MSN, RN, OCN) – Adult Health Nurse Practitioner, NPI 1790479152
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for PAMELA PROCTOR CRISCITIELLO (AGPCNP, MSN, RN, OCN)
812 PINE VALLEY DR
COLLEGE STATION, TX 778454460
Phone: (305) 298-8973
Type: Mailing
2215 E VILLA MARIA RD STE 110
BRYAN, TX 778022585
Phone: (979) 776-2000
Fax: (866) 733-2572
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $3,850.
Total Amount is formed as General ($3,850) + Research ($0) + Ownership ($0) = $3,850.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,239).
Total Amount
$3,850
General + Research + Ownership
Payments
76
Total payment records
General Amount
$3,850
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $1,239 |
| Gilead Sciences, Inc. | $216 |
| GENZYME CORPORATION | $196 |
| Janssen Biotech, Inc. | $180 |
| Takeda Pharmaceuticals U.S.A., Inc. | $147 |
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: 2023-11-03
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 |
|---|---|---|---|---|
| I20231103002635 | I | Nurse Practitioner | TX | 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 77845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Hematology/Oncology, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Medical Oncology | TX | |
| Internal Medicine, Medical Oncology | TX | |
| - | TX |
Reviews
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