Active NPI
Shawn Crow, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Cabot, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 223561
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Practice addresses (Care Compare)
1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 408-2429
Hospital & facility affiliations
- Saline Memorial Hospital
- Jefferson Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Rock Mental Health, LLC | Current | Accepting new patients | |
| Ipc Pac Healthcare Services of Missouri Inc | Current | 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.
-
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.