Active NPI
Kolean Crawford, NURSE PRACTITIONER
- Nurse Practitioner
- Granbury, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1055114
- Practice address
- 1308 Paluxy Rd Ste 303
Granbury, TX 76048-5609 - Phone
- (817) 579-3948
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1055114 | TX | Primary |
Addresses
Primary practice location
1308 Paluxy Rd Ste 303
Granbury, TX 76048-5609
Mailing address
1628 County Road 2003
Glen Rose, TX 76043-5905
Phone (254) 396-5122
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kolean.crawford.1@1293.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1009 NE Big Bend Trail
Lake Granbury Primare Care
Glen Rose, TX 76043-4450
Phone (254) 897-3310
1308 E Paluxy Rd
Granbury, TX 76048-5655
1310 B Paluxy Rd
Granbury, TX 76048-5655
1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 579-2963
1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805
507 SW Big Bend TRL
Unit J
Glen Rose, TX 76043-4450
Phone (254) 897-3444
Hospital & facility affiliations
- Glen Rose Medical Center
- Lake Granbury Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055114 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hood Medical Group | Current | Accepting new patients | |
| Hood Medical Group | Nurse Practitioner | Current | Accepting new patients |
Locations
507 SW Big Bend Trl
Glen Rose, TX 76043
Phone (254) 897-3444
1308 Paluxy Rd
Ste 303
Granbury, TX 76048
Phone (817) 579-3906
1308 Paluxy Rd
Ste 301
Granbury, TX 76048
Phone (817) 573-3272
1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273
3801 E US Highway 377
Ste 100
Granbury, TX 76049
Phone (817) 573-1380
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Granbury, TX
- NPI 1386341535
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
-
- Rural Acute Care Hospital
- Glen Rose, TX
- NPI 1700826575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1073284642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 COUNTY ROAD 2003",
"city": "GLEN ROSE",
"state": "TX",
"postal_code": "760435905",
"telephone_number": "254-396-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 PALUXY RD STE 303",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485609",
"telephone_number": "817-579-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "KOLEAN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1055114",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kolean.crawford.1@1293.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "1308 Paluxy Rd Ste 303",
"city": "Granbury",
"state": "TX",
"country_code": "US",
"postal_code": "760485609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.