Individual provider Active NPI

Shawn Crow, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cabot, AR
National Provider Identifier
1043907223
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
223561 Issued in AR
Practice address
60 Cossatot Cir
Cabot, AR 72023-9706
Phone
(501) 941-9451
NPI assigned
Apr 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 223561 AR Primary

Addresses

Primary practice location

60 Cossatot Cir
Cabot, AR 72023-9706

Mailing address

60 Cossatot Cir
Cabot, AR 72023-9706
Phone (501) 941-9451

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804000762 AR Practitioner - Nurse Practitioner 1850752965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Mental Health LLCGroup PAC ID 9638527237, 9 clinicians

Practice addresses (Care Compare)

1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 408-2429

Hospital & facility affiliations

  • Saline Memorial Hospital Hospital, Benton, AR, CCN 040084
  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jul 31, 2023 Accepting new patients
Rock Mental Health, LLC CurrentSince Sep 25, 2023 Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc CurrentSince Jul 31, 2023 Accepting new patients

Locations

5 Medical Park Dr
Ste 304
Benton, AR 72015
Phone (501) 408-2429

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

8701 Riley Dr
Little Rock, AR 72205
Phone (501) 224-2700

5720 W Markham St
Little Rock, AR 72205
Phone (501) 305-3153

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

Organizations & group practices 3

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 2

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1043907223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COSSATOT CIR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720239706",
            "telephone_number": "501-941-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COSSATOT CIR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720239706",
            "telephone_number": "501-941-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "SHAWN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "223561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.