Stephanie Crawford, DNP, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Hardy, AR
NPI 1053601567 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1053601567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 277000063 (IL)
- Practice address
- 446 Robinhood LN
Hardy, AR 72542-9032 - Phone
- (815) 262-6518
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Appello Health and Wellness Clinic LLC
Practice addresses (Care Compare)
2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, AR
- 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 |
|---|---|---|---|---|
| I20110811000798 | IL | Practitioner - Nurse Practitioner | 6800065681 | Reassigns benefits to 1 organization |
| I20260224000133 | AR | Practitioner - Nurse Practitioner | 6800065681 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277000063 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochelle Community Hospital Association | Current |
Accepting new patients | |
| Appello Health and Wellness Clinic, LLC | Current |
Accepting new patients | |
| Rochelle Community Hospital Association | Current |
Accepting new patients | |
| Rochelle Community Hospital Association | Current | Accepting new patients | |
| Advanced Illness Management | Adult Health | Current |
Accepting new patients |
Locations
6834 Cantrell Rd
Little Rock, AR 72207
Phone (501) 291-0420
2223 Grant St
Malvern, AR 72104
Phone (501) 337-9031
900 N 2nd St
Ste 200
Rochelle, IL 61068
Phone (815) 562-2181
900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277000063 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 277000063 | IL | Yes |
Addresses
Primary practice location
446 Robinhood LN
Hardy, AR 72542-9032
Mailing address
6834 Cantrell Rd # 1437
Little Rock, AR 72207-4135
Phone (815) 262-6518
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277000063 | Medicaid | IL |
Other providers in Hardy, AR
- Advanced Illness Management
- Brandy N Anderson
- Bradley Bibb MD PLLC
- Bryan Scott Pollock
- Benjamin Lee Cravens
- Dan T Speir OD PA
- Davis Drug Store Inc
- Clifford Marsh Davis
- Julea Garner
- Glden Care Adult Day Health Care Inc.
All providers in Hardy, AR · Adult Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. 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.