Brandi I Criswell (NPI# 1144758756, PAC ID# 0840563987) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144758756 |
| PAC ID by PECOS | 0840563987 |
| Professional Enrollment ID | I20170912000797 |
| Full Name | Brandi I Criswell |
| Organization Legal Name | IVY CREEK OF ELMORE LLC |
| Address |
807 Jackson Trace Rd Wetumpka AL 36092-1504 |
| Phone Number | 3345670346 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8426075508 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010097 | ELMORE COMMUNITY HOSPITAL |
| 010108 | PRATTVILLE BAPTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Hospital Dr, Wetumpka, AL 36092-1625 | 3345674311 | IVY CREEK OF ELMORE LLC |
| 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 | 3345670346 | IVY CREEK OF ELMORE LLC |
| Organization Legal Name | IVY CREEK OF ELMORE LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Pendergrass | Nurse Practitioner | Ivy Creek of Elmore LLC | 4412 Hogan Rd, Deatsville, AL 36022-3400 |
| Martin A Lyons Jr. | Family Medicine | Ivy Creek of Elmore LLC | 41 Cambridge Ct, Wetumpka, AL 36093-1261 |
| Janice M Seip | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Sherman L Armstrong | General Surgery | Ivy Creek of Elmore LLC | 515 Hospital Dr, Wetumpka, AL 36092-1626 |
| Brandy Erin Laurenzi | Nurse Practitioner | Ivy Creek of Elmore LLC | 41 Cambridge Ct, Wetumpka, AL 36093-1261 |
| Jeremy Taylor | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Jeana Ann Murphy | Nurse Practitioner | Ivy Creek of Elmore LLC | 41 Cambridge Ct, Wetumpka, AL 36093-1261 |
| James F Mracek Ii | Family Practice | Ivy Creek of Elmore LLC | 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 |
| Street Address |
807 JACKSON TRACE RD |
| City | WETUMPKA |
| State | AL |
| Zip | 36092-1504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James F Mracek Ii | Family Practice | Ivy Creek of Elmore LLC | 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice M Seip | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Scott Berl | Diagnostic Radiology | Radiology Group, P.a. | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Jeremy Taylor | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Sherman L Armstrong | General Surgery | Ivy Creek of Elmore LLC | 515 Hospital Dr, Wetumpka, AL 36092-1626 |
| Brian E Richardson | Urology | Jackson Hospital and Clinic, Inc. | 515 Hospital Dr, Suite A, Wetumpka, AL 36092-1626 |
| Spencer Coleman Sr. | Family Medicine | 73970 Tallassee Hwy, Wetumpka, AL 36092-1698 | |
| Bobby J Luster | Chiropractic | 106 Court St, Wetumpka, AL 36092-2709 | |
| Dixie D Kidd | Family Practice | American Family Care Inc | 4452 Us Hwy 231, Wetumpka, AL 36092-3328 |
| Justin D Clutter | Family Practice | American Family Care Inc | 4452 Us Hwy 231, Wetumpka, AL 36092-3328 |
| Charles T Pershing Jr. | Chiropractic | 75928 Tallassee Hwy, Wetumpka, AL 36092-5508 | |
| Find all physicians in zip 36092 | |||
| City | WETUMPKA |
| Zip Code | 36092 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WETUMPKA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brandi I Criswell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.