Individual provider Active NPI

Zachary Crossett, MD

  • Family Medicine Physician
  • Siloam Springs, AR
National Provider Identifier
1013479989
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-13901 Issued in AR
Practice address
3721 Highway 412 E Ste a
Siloam Springs, AR 72761-8010
Phone
(479) 215-3070
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X E-13901 AR Primary

Addresses

Primary practice location

3721 Highway 412 E Ste a
Siloam Springs, AR 72761-8010

Mailing address

3721 Highway 412 E Ste a
Siloam Springs, AR 72761-8010

Other practice location 1

311 E Matthews Ave
Jonesboro, AR 72401-3125
Phone (870) 972-0063

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zachary.crossett.2@1964.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220715000077 AR Practitioner - Family Practice 9436484664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siloam Springs Clinic Company LLCGroup PAC ID 9032275318, 7 clinicians

Practice addresses (Care Compare)

1101 -1 N Progress Ave
Siloam Springs, AR 72761-4343
Phone (479) 549-4010

603 N Progress Ave
Siloam Springs, AR 72761-4353
Phone (479) 215-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-13901ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siloam Springs Clinic Company LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

3721 Highway 412 E
Ste A
Siloam Springs, AR 72761
Phone (479) 215-3035

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

Networks

  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Interoperability endpoints

  • Direct secure messaging: zachary.crossett.2@1964.direct.athenahealth.com

Organizations & group practices 1

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 4

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1013479989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 HIGHWAY 412 E STE A",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 HIGHWAY 412 E STE A",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618010",
            "telephone_number": "479-215-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 E Matthews Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013125",
            "country_code": "US",
            "telephone_number": "870-972-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSETT",
        "first_name": "ZACHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-13901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zachary.crossett.2@1964.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "3721 Highway 412 E Ste A",
            "city": "Siloam Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727618010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.