Individual provider Active NPI

Katie Nicole Crossland

  • Family Nurse Practitioner
  • Osborne, KS
National Provider Identifier
1174132625
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-81261-041 Issued in KS
Practice address
237 W Harrison St
Osborne, KS 67473-1500
Phone
(785) 673-3342
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 113956 KS
Family Nurse Practitioner 363LF0000X 53-81261-041 KS Primary

Addresses

Primary practice location

237 W Harrison St
Osborne, KS 67473-1500

Mailing address

226 W Adams St
Osborne, KS 67473-2010
Phone (785) 673-3342

Other practice location 1

320 N 13th St
Wakeeney, KS 67672-2002
Phone (785) 673-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20220711000258 KS Practitioner - Nurse Practitioner 5991185712 Reassigns benefits to 2 organizations

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
Osborne County Memorial HospitalGroup PAC ID 7517877848, shared by 3 NPIs, 6 clinicians

Practice addresses (Care Compare)

237 W Harrison St
Osborne, KS 67473-1500
Phone (785) 346-2510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113956KSMDEmergency Registered Nurse
53-81261-041KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osborne County Memorial Hospital CurrentSince Jun 14, 2022 Accepting new patients
Osborne County Memorial Hospital Current Accepting new patients
Osborne County Memorial Hospital Past Accepting new patients

Locations

237 W Harrison St
Osborne, KS 67473
Phone (785) 346-2121

237 W Harrison St
Ste 100
Osborne, KS 67473

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.

Hospital & facility affiliations 3

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1174132625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W ADAMS ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674732010",
            "telephone_number": "785-673-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W HARRISON ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674731500",
            "telephone_number": "785-673-3342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Wakeeney",
            "state": "KS",
            "postal_code": "676722002",
            "country_code": "US",
            "telephone_number": "785-673-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSLAND",
        "first_name": "KATIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "KS",
            "license": "113956",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81261-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osborne, KS

Sources for this page

Verify at the official NPI Registry.