Katie Rae Crawford, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PT2019-051 Issued in AR

Practice address

1176 State Highway 22 W Ste B
Dardanelle, AR 72834-3006

Phone

(479) 229-3004

Fax

(870) 994-7488

NPI assigned

Nov 25, 2019

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katie.crawford.1@15024.direct.athenahealth.com
• Direct secure messaging: katie.crawford.1@2424.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment Care Compare group
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436
  Medicare reassignment Care Compare group
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Flippin, AR
  • NPI 1184163008
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Bradley Bibb, MD PLLC

  dba Access Medical Clinic Dardanelle

  • Rural Health Clinic/Center
  • Dardanelle, AR
  • NPI 1568904480
  NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764
  NPD
• Bradley Bibb MD PLLC

  dba Access Medical Clinic

  • Rural Health Clinic/Center
  • Black Rock, AR
  • NPI 1437569837
  NPD (past)
• Bradley Bibb MD PLLC

  dba access medical clinic

  • Rural Health Clinic/Center
  • Marked Tree, AR
  • NPI 1831595057
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Russellville Holdings LLC

  dba St . Mary's Regional Medical Center

  • General Acute Care Hospital
  • Russellville, AR
  • NPI 1033160049
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1073159133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725429566",
            "fax_number": "870-856-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 STATE HIGHWAY 22 W STE B",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343006",
            "telephone_number": "479-229-3004",
            "fax_number": "870-994-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "KATIE",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PT2019-051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Brashear, APRN
• Randilyn Brunson
• Stephannie Cawiezell
• Anastasia Desiree Christensen, APRN
• Heather Coffman
• Tammy Creekmore, COTA
• Katie E Crow-Goates, DDS
• Joshua Craig Cummins, PHARM. D.
• Stevie Cursh, LPC
• Tina Curtis, LPC

• Medical Physician Assistant in Dardanelle, AR
• Providers in Dardanelle, AR by specialty
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.

Verify at the official NPI Registry.