Individual provider Active NPI

Rachall Crowe, FNP-BC

  • Family Nurse Practitioner
  • Valley Springs, CA
National Provider Identifier
1154059939
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022167 Issued in CA
Practice address
51 Wellness Way
Valley Springs, CA 95252-9736
Phone
(209) 772-7070
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 1-108542 AL
Emergency Registered Nurse 163WE0003X RN312476 GA
Emergency Registered Nurse 163WE0003X 95026035 CA
Family Nurse Practitioner 363LF0000X 95022167 CA Primary

Addresses

Primary practice location

51 Wellness Way
Valley Springs, CA 95252-9736

Mailing address

51 Wellness Way
Valley Springs, CA 95252-9736
Phone (209) 772-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221228002296 CA Practitioner - Nurse Practitioner 3173993532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Twain Health Care DistrictGroup PAC ID 7810327657, 17 clinicians

Practice addresses (Care Compare)

51 Wellness Way
Valley Springs, CA 95252-9736
Phone (209) 772-7070

Hospital & facility affiliations

  • Iron Point Home Health Care Inc Home health agency, Folsom, CA, CCN 553167
  • United Home Care of Northern California Home health agency, Jackson, CA, CCN 557014
  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-108542ALMDEmergency Registered Nurse
95026035CAMDEmergency Registered Nurse
RN312476GAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Health Care District CurrentSince Jan 3, 2023 Accepting new patients
Mark Twain Medical Center PastSince Dec 6, 2022 Accepting new patients

Locations

51 Wellness Way
Valley Springs, CA 95252
Phone (209) 772-7070

Interoperability endpoints

  • Direct secure messaging: rcrowe231654@hpmg.direct-ci.net
  • Direct secure messaging: rachall.crowe.1@19210.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1154059939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WELLNESS WAY",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529736",
            "telephone_number": "209-772-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WELLNESS WAY",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529736",
            "telephone_number": "209-772-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "RACHALL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AL",
            "license": "1-108542",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "GA",
            "license": "RN312476",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95026035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Springs, CA

Sources for this page

Verify at the official NPI Registry.