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

Samantha Criswell

Individual provider Primary Care Nurse Practitioner · NPI 1417764002

Samantha Criswell is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2024, 2 years ago. Practices with Family Practice Associates of Lexington PSC, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
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Practice location Address checks out

1740 Nicholasville Rd
Lexington, KY 40503-1431
Phone: (859) 260-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4031568 (KY)

Record details

NPI number1417764002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address4218 Reserve Rd Apt 304, Lexington, KY 40514-4069

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Family Practice Associates Of Lexington Psc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lexington