Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carol D Crisp, PHD, MSN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1689730616

Carol D Crisp, PHD, MSN, FNP-BC is a Nurse Practitioner in Springfield, Oregon. Qualified in 2006, 20 years ago. Practices with Nisha Jackson Inc, a 44-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Oregon.

Years since qualifying
20
Licensed in
ID, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3312 Gateway St
Springfield, OR 97477-1054
Phone: (541) 204-4745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1075 N Curtis Rd Ste 100, Boise, ID 83706-1348 — (208) 377-5166

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10002835 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CNP61599 (ID)

Record details

NPI number1689730616
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , MSN , FNP-BC
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESJuly 27, 2023
Certification dateJuly 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Nisha Jackson Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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