Individual provider Active NPI

Cynthia Decamp Croyle, FNP

  • Family Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1184942104
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A175987 Issued in IA
Practice address
18600 S John Deere Rd
Dubuque, IA 52001-9746
Phone
(563) 589-5222
NPI assigned
May 14, 2010
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.008043 IL
Family Nurse Practitioner 363LF0000X 280850027A IN
Family Nurse Practitioner 363LF0000X A175987 IA Primary

Addresses

Primary practice location

18600 S John Deere Rd
Dubuque, IA 52001-9746

Mailing address

940 Evergreen LN
Schererville, IN 46375-1156
Phone (219) 688-3109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CT, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130511000085 IL Practitioner - Nurse Practitioner 2466699475 Reassigns benefits to 1 organization
I20250219001507 CT Practitioner - Nurse Practitioner 2466699475 Reassigns benefits to 1 organization
I20250514002458 WI Practitioner - Nurse Practitioner 2466699475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A175987IAMDFamily Nurse Practitioner
209.008043ILMDFamily Nurse Practitioner
280850027AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince Feb 19, 2025 Accepting new patients
Riverside Health System CurrentSince Mar 2, 2013 Accepting new patients
Riverside Health System Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince May 5, 2025 Accepting new patients
Greenwich Hospital CurrentSince Feb 19, 2025 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince May 5, 2025 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

29980 Network Pl
Chicago, IL 60673

720 S Crescent St
Gilman, IL 60938
Phone (815) 265-4255

1905 W Court St
Kankakee, IL 60901
Phone (815) 933-2240

25711 S Egyptian Trl
Monee, IL 60449
Phone (708) 534-7523

611 S Division St
Peotone, IL 60468
Phone (708) 258-9058

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

1630 N Chippewa Dr
Rhinelander, WI 54501
Phone (715) 361-5480

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Interoperability endpoints

  • Direct secure messaging: ccroyle374145@direct.aspirus.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1184942104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 EVERGREEN LN",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751156",
            "telephone_number": "219-688-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 S JOHN DEERE RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520019746",
            "telephone_number": "563-589-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROYLE",
        "first_name": "CYNTHIA",
        "middle_name": "DECAMP",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.008043",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "280850027A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A175987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.