Individual provider Active NPI

Christina Lea Croley, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1003480245
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1018211 Issued in TX
Practice address
701 E Marshall Ave Ste 200
Longview, TX 75601-5544
Phone
(903) 236-2222
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1018211 TX Primary

Addresses

Primary practice location

701 E Marshall Ave Ste 200
Longview, TX 75601-5544

Mailing address

1600 Broadway Ave
Gladewater, TX 75647-5040
Phone (903) 845-5630

Other practice location 1

607 Russell Blvd Ste A
Nacogdoches, TX 75965-1247
Phone (936) 560-2920

Other practice location 2

1600 Broadway Ave
Gladewater, TX 75647-5040
Phone (903) 845-5630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220317000404 TX Practitioner - Nurse Practitioner 2264827831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 595-2283

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1018211TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Physician Group - Etx PLLC CurrentSince Feb 3, 2025 Accepting new patients
Nacogdoches Medical Clinic PLLC CurrentSince May 1, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 25, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 25, 2022 Accepting new patients

Locations

1600 Broadway Ave
Gladewater, TX 75647
Phone (903) 315-5630

701 E Marshall Ave
Ste 200
Longview, TX 75601
Phone (903) 236-2222

607 Russell Blvd
#A
Nacogdoches, TX 75965
Phone (936) 560-2920

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30724/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ccroley240797@christushealth.direct-ci.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1003480245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BROADWAY AVE",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756475040",
            "telephone_number": "903-845-5630",
            "fax_number": "866-861-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL AVE STE 200",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015544",
            "telephone_number": "903-236-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Russell Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759651247",
            "country_code": "US",
            "telephone_number": "936-560-2920",
            "fax_number": "866-861-6312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Gladewater",
            "state": "TX",
            "postal_code": "756475040",
            "country_code": "US",
            "telephone_number": "903-845-5630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROLEY",
        "first_name": "CHRISTINA",
        "middle_name": "LEA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.