Criselle Smith, NP - Medicare Nurse Practitioner in Sandusky, OH

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Criselle Smith, NP is a medicare enrolled "Nurse Practitioner - Family" in Sandusky, Ohio. Her current practice location is 3703 Columbus Ave, Sandusky, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 625-8085.

Criselle Smith is licensed to practice in Arizona (license number AP3485) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366517385.

Contact Information

Criselle Smith, NP
3703 Columbus Ave,
Sandusky, OH 44870-5707
(419) 625-8085
(419) 625-6004

Map and Direction




Provider's Profile

Full NameCriselle Smith
GenderFemale
SpecialityNurse Practitioner - Family
Location3703 Columbus Ave, Sandusky, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366517385
  • Provider Enumeration Date: 11/22/2006
  • Last Update Date: 07/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4981656899
  • Enrollment ID: I20080225000741

Medical Identifiers

Medical identifiers for Criselle Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366517385NPI-NPPES
339468MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 206081 (Alaska)Secondary
363LF0000XNurse Practitioner - Family 0039977 (Ohio)Secondary
363LF0000XNurse Practitioner - Family AP3485 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Criselle Smith allows following entities to bill medicare on her behalf.
Entity NameRosebud Indian Health Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194757369
PECOS PAC ID: 6901704055
Enrollment ID: O20031226000337
Entity NameDhhs Phs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265719918
PECOS PAC ID: 2668647108
Enrollment ID: O20111212000142
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396022026
PECOS PAC ID: 0244405629
Enrollment ID: O20120105000013
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265719934
PECOS PAC ID: 7810163011
Enrollment ID: O20120109000961

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Criselle Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Criselle Smith, NP
3703 Columbus Ave,
Sandusky, OH 44870-5707

Ph: (419) 625-8085		Criselle Smith, NP
3703 Columbus Ave,
Sandusky, OH 44870-5707

Ph: (419) 625-8085

Reviews and Comments


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Phone: 419-557-7400    Fax: 419-557-7782

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.