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

Jessicca Crismor, RN, FNP-BC

Individual provider Nurse Practitioner · NPI 1508513375

Jessicca Crismor, RN, FNP-BC is a Nurse Practitioner in Twin Falls, Idaho. Qualified in 2021, 5 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

625 Pole Line Rd W Ste 2A
Twin Falls, ID 83301-4270
Phone: (208) 814-8600
Fax: (208) 814-8942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 56297 (ID)

Record details

NPI number1508513375
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP-BC
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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