Individual provider Active NPI

Sandra D Crouse, MD

  • Neurology Physician
  • Fredericksburg, VA
National Provider Identifier
1164631255
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101241591 Issued in VA
Practice address
1101 Sam Perry Blvd
Suite 414
Fredericksburg, VA 22401-4467
Phone
(540) 899-1354
Fax
(540) 899-1359
NPI assigned
May 22, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101241591 VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd
Suite 414
Fredericksburg, VA 22401-4467

Mailing address

1101 Sam Perry Blvd
Suite 414
Fredericksburg, VA 22401-4467
Phone (540) 899-1354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071009000376 VA Practitioner - Neurology 7012002876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Eastern Virginia Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1100

101 Hospital Ctr Blvd
Stafford, VA 22554-6200
Phone (540) 741-9299

220 Executive Ctr Pkwy
Fredericksburg, VA 22401-3107
Phone (540) 899-2900

2300 Fall Hill Ave
Suite 308
Fredericksburg, VA 22401-3343

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians Neurology CurrentSince Jan 1, 2009 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jan 1, 2009 Accepting new patients
Neurology Associates of Central Virginia LLC Neurology PastSince Jul 1, 2008 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1101 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 374-3104

1101 Sam Perry Blvd
Ste 414
Fredericksburg, VA 22401
Phone (540) 899-1354

220 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 899-2900

Interoperability endpoints

  • Direct secure messaging: scrouse12026@marywashingtonhealthcare.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1164631255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 414",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-899-1354",
            "fax_number": "540-899-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 414",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-899-1354",
            "fax_number": "540-899-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "SANDRA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101241591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.