Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508132440 Individual Practitioner Male Practitioner

Marshall James Criswell

Pediatrics • Lafayette, IN

Professional Overview & Biography Verified Profile Summary

Marshall Criswell is a registered healthcare professional specializing in Pediatrics in Lafayette, IN. Practice services are available at 2600 GREENBUSH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2600 Greenbush St

Lafayette, IN 479042477

Telephone 7654488000
Associated Practice Facility / Clinic
🏢 Arnett Clinic, Llc Facility NPI 1376504712

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lafayette, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
29 Specialists

Practicing in Lafayette, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01075036A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201283840 (IN)
Commercial Insurance / Payer ID Anthem Provider Number
000000939535 (IN)

Secondary Practice Locations

571 S Floyd St, Suite 412

Louisville, KY 402023830

Phone: 5026298828

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003044520

Doctor of Medicine (M.D.)

Dr. Michelle Herberts , MD

Internal Medicine - Critical Care Medicine

NPI 1003270786

Doctor of Medicine (M.D.)

Betty Wellman , NP

Nurse Practitioner - Family

NPI 1003351750

Nurse Practitioner

Dr. Kathryn Stucker , MD

Student in an Organized Health Care Education/Training Program

NPI 1003495391

Doctor of Medicine (M.D.)

Dani'el Mckillip , RN

Registered Nurse - Obstetric, Inpatient

NPI 1003604265

Registered Nurse

Abigail Crum , FNP-BC

Nurse Practitioner - Family

NPI 1003687005

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 03, 2020

Registered at 2600 GREENBUSH ST, LAFAYETTE, IN 479042477 (Tel: 7654488000)

📍
Updated Business Mailing Address December 03, 2020

Registered at 1200 W WHITE RIVER BLVD, MUNCIE, IN 473034988

NPI Profile Active August 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2015

Registered at 571 S FLOYD ST, SUITE 412, LOUISVILLE, KY 402023830 (Tel: 5026298828)

📍
Updated Business Mailing Address August 25, 2015

Registered at 571 S FLOYD ST, SUITE 412, LOUISVILLE, KY 402023830

👤
Provider Name / Credentials Updated August 25, 2015

Recorded as MARSHALL CRISWELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2015

Pediatrics (License #01075036A in IN)

🟢
Initial NPI Registration & Enumeration March 26, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508132440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2012
Last Update: February 01, 2021
Sole Proprietor: No

Mailing Address

1200 W White River Blvd

Muncie, IN 473034988

Phone: 8776685621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.