Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily E Criscuolo

Individual provider Registered Nurse · NPI 1285443622

Emily E Criscuolo is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2025, 1 year ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2805
Phone: (203) 384-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 15045 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 212261 (CT)

Record details

NPI number1285443622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 31, 2024
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address33 Westward Rd, Woodbridge, CT 06525-1850

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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