NPIMap

Individual provider Active NPI

Jonathan Cropp

  • Nurse Practitioner
  • Shoals, IN
National Provider Identifier
1063859643
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71004548A Issued in IN
Practice address
229 High St
Shoals, IN 47581-5501
Phone
(812) 247-2733
Fax
(812) 247-2373
NPI assigned
May 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71004548A IN Primary

Addresses

Primary practice location

229 High St
Shoals, IN 47581-5501

Mailing address

PO Box 1028
Jasper, IN 47547-1028
Phone (812) 996-8476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017000107 IN Practitioner - Nurse Practitioner 2163656653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, 140 clinicians

Practice addresses (Care Compare)

229 High St
Shoals, IN 47581-5501
Phone (812) 247-2733

Hospital & facility affiliations

  • Deaconess Home Health, LLC Home health agency, Evansville, IN, CCN 157565
  • Good Samaritan Home Care Services of Vincennes in Home health agency, Vincennes, IN, CCN 157217
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
  • Indiana University Health Bedford Hospital Hospital, Bedford, IN, CCN 151328
  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71004548AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Mar 12, 2014 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Mar 12, 2014 Accepting new patients
Deaconess Memorial Medical Center, Inc Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients

Locations

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

751 W 9th St
Jasper, IN 47546
Phone (812) 482-7474

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

105 Cooper St
Loogootee, IN 47553
Phone (812) 295-2812

Interoperability endpoints

  • Direct secure messaging: jcropp1051637@direct.deaconess.com

Organizations & group practices 7

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 7

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1063859643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475471028",
            "telephone_number": "812-996-8476",
            "fax_number": "812-996-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 HIGH ST",
            "city": "SHOALS",
            "state": "IN",
            "postal_code": "475815501",
            "telephone_number": "812-247-2733",
            "fax_number": "812-247-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROPP",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004548A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoals, IN

Sources for this page

Verify at the official NPI Registry.