Individual provider Active NPI

Cheryl Ann Crawford, NP

  • Acute Care Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1104412873
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
251170 Issued in AZ
Practice address
1704 W Anklam Rd Ste 108
Tucson, AZ 85745-2656
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Dec 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 251170 AZ Primary

Addresses

Primary practice location

1704 W Anklam Rd Ste 108
Tucson, AZ 85745-2656

Mailing address

9401 W Thunderbird Rd Ste 180
Peoria, AZ 85381-4210
Phone (623) 516-8252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20210524002628 AZ Practitioner - Nurse Practitioner 8921407909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Vascular Specialists LLCGroup PAC ID 7113321878, 5 clinicians

Practice addresses (Care Compare)

6442 E Speedway Blvd
Suite 102
Tucson, AZ 85710-1134
Phone (520) 777-4090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251170AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Center of Arizona PC CurrentSince Dec 9, 2025 Accepting new patients
The Pain Center of Arizona, PC CurrentSince Dec 9, 2025 Accepting new patients

Locations

3645 S Rome St
Ste 216
Gilbert, AZ 85297
Phone (480) 478-5512

9401 W Thunderbird Rd
Ste 180
Peoria, AZ 85381
Phone (623) 241-6153

21321 E Ocotillo Rd
Ste 126
Queen Creek, AZ 85142
Phone (480) 245-6288

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1104412873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 W THUNDERBIRD RD STE 180",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814210",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W ANKLAM RD STE 108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452656",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "251170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.