Trumon Otto Craft IV, MSN, A-GNP
Individual provider Active NPI Adult Health Nurse Practitioner · Rifle, CO
NPI 1033675004 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1033675004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 0995336-NP (CO)
- Practice address
- 220 East Ave
Rifle, CO 81650-2332 - Phone
- (970) 625-5521
- Fax
- (970) 625-9336
- NPI assigned
- Feb 14, 2019
- Sex
- Male
- Sole proprietor
- No
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
220 E Ave
Rifle, CO 81650-2332
Hospital & facility affiliations
- Grand River Hospital District
- Valley View Hospital Association
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.89 of 100
- Quality
- 86.88
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200515002000 | CO | Practitioner - Nurse Practitioner | 3173954617 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0169891 | CO | MD | Critical Care Medicine Registered Nurse |
| 0995336-NP | CO | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- https://api.platform.athenahealth.com/27508/brand/1/csg/1/fhir/r4
- trumon.craft.1@27508.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0995336-NP | CO | Yes |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN.0169891 | CO |
Addresses
Primary practice location
220 East Ave
Rifle, CO 81650-2332
Mailing address
220 East Ave
Rifle, CO 81650-2332
Phone (970) 625-5521
Other providers in Rifle, CO
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
- Paul Corcoran
- Heath Earl Cotter
- Sabina Cotter
- Geoffrey Curtis
- Donavan Dacares
- Eileen P Daly
- Jack Justin Davis
- Nicole Ezell Davis
All providers in Rifle, CO · Adult Health Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.