Jennifer Anne Crandall, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

260940 Issued in NC

Practice address

2231 Nash St NW Ste a
Wilson, NC 27896-1712

Phone

(919) 252-3511

NPI assigned

Mar 15, 2022

Last updated

Mar 15, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Godwin Psychiatry PAGroup PAC ID 9830574656, 3 clinicians

Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Godwin Psychiatry P.a.

  • Psychiatry Physician
  • Goldsboro, NC
  • NPI 1770213282
  Medicare reassignment Care Compare group NPD
• Recovery Innovations, Inc

  dba Ri International

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1700257664
  Medicare reassignment Care Compare group NPD
• Freedom Psychiatry Services PLLC

  • Child & Adolescent Psychiatry Physician
  • Raleigh, NC
  • NPI 1699279448
  NPD
• Recovery Innovations, Inc

  dba Ri International

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1902776107
  NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1124776521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 NASH ST NW STE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961712",
            "telephone_number": "919-252-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 NASH ST NW STE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961712",
            "telephone_number": "919-252-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "260940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cox & Berndt, DDS, Ms, PA
• April Michelle Cox, CEO
• Crystal Renee Cox, DDS, MS
• Martin Jerome Cox Jr., MS, CRC, LPC
• Mellissa Lynn Coyle, LPCA
• Craven Neurologic PA
• William Craven, MD
• Shannon Crawford, CADC
• Erica Lynn Crouse, RPA-C
• Mary Katherine Crouse

• Psychiatric/Mental Health Nurse Practitioner in Wilson, NC
• Providers in Wilson, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.