Active NPI
Ashley Crutchfield, FNP-C
- Family Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1008845
- Practice address
- 910 E Houston St Ste 330
Tyler, TX 75702-8368 - Phone
- (903) 606-7995
- NPI assigned
- Jun 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 872856 | TX | |
| Nurse Practitioner | 363L00000X | 1008845 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1008845 | TX | Primary |
Addresses
Primary practice location
910 E Houston St Ste 330
Tyler, TX 75702-8368
Mailing address
910 E Houston St Ste 330
Tyler, TX 75702-8368
Phone (903) 606-7995
Other practice location 1
8591 S Broadway Ave
Tyler, TX 75703-5470
Phone (903) 596-9173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02531931 | Other | TX | RAIL ROAD NUMBER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200821000054 | TX | Practitioner - Nurse Practitioner | 3476979469 | 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
Practice addresses (Care Compare)
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
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
8591 S Broadway Ave
Tyler, TX 75703-5470
Phone (903) 606-8840
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Christus Good Shepherd Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872856 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
8591 S Broadway Ave
Tyler, TX 75703
Phone (903) 596-9173
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
910 E Houston St
Ste 330
Tyler, TX 75702
Phone (903) 510-8718
Interoperability endpoints
- acrutchfield231669@christushealth.direct-ci.net
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
Hospital
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1033735154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 E HOUSTON ST STE 330",
"city": "TYLER",
"state": "TX",
"postal_code": "757028368",
"telephone_number": "903-606-7995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E HOUSTON ST STE 330",
"city": "TYLER",
"state": "TX",
"postal_code": "757028368",
"telephone_number": "903-606-7995"
}
],
"practiceLocations": [
{
"address_1": "8591 S Broadway Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757035470",
"country_code": "US",
"telephone_number": "903-596-9173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUTCHFIELD",
"first_name": "ASHLEY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "872856",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1008845",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1008845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD NUMBER",
"identifier": "P02531931",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.