Teresa Collier Crosby, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

536588 Issued in TX

Practice address

1021 Holden St
Glen Rose, TX 76043-4937

Phone

(817) 573-0444

Fax

(817) 573-2733

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Hood Medical Group

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1225096472
  NPD (past)
• Roswell Hospital Corporation

  • Rural Health Clinic/Center
  • Dexter, NM
  • NPI 1225161474
  NPD (past)
• Roswell Hospital Corporation

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1427001759
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1083663140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8748",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158748",
            "telephone_number": "817-573-0444",
            "fax_number": "817-573-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 HOLDEN ST",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434937",
            "telephone_number": "817-573-0444",
            "fax_number": "817-573-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "TERESA",
        "middle_name": "COLLIER",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "536588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9755",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Clevenger
• Jon Jason Coble, D.C.
• Clark Kevin Cole, PHYSICAL THERAPTIST
• County of Somervell
• Kevin Andrew Crawford, CRNA
• Jennifer Joella Cullen, D.C.
• D. Barnes, Crna,PC
• Cynthia N Daniels, NP-C
• Michael L Davis, M.D.
• Valerie Michelle Day, M.S., CCC-SLP

• Family Nurse Practitioner in Glen Rose, TX
• Providers in Glen Rose, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.