Makala Crutchfield, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

227818 Issued in AR

Practice address

5315 W 12TH St
Little Rock, AR 72204-1858

Phone

(501) 708-5383

NPI assigned

Apr 17, 2024

Last updated

Oct 8, 2024By 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 AR

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Vincent Infirmary Medical CenterGroup PAC ID 5698674166, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcrutchfield456287@direct.stlukeshealth.org

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.

• St. Vincent Infirmary Medical Center

  dba St Vincent North Anesthesia Group

  • Certified Registered Nurse Anesthetist
  • Sherwood, AR
  • NPI 1316991847
  Medicare reassignment Care Compare group NPD
• Heart Clinic Arkansas

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1053367508
  NPD
• St Vincent Infirmary Medical Center

  dba St Vincent Infirmary Medical Center - GeroPsych Unit

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1710442801
  NPD
• St. Vincent Infirmary Medical Center

  dba St. Vincent Heart Clinic Arkansas

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1144590522
  NPD
• St Vincent Infirmary Medical Center

  dba St. Vincent Homecare

  • Home Health Agency
  • Little Rock, AR
  • NPI 1316924236
  NPD (past)

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1194579938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 MCCALLUM DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721201645",
            "telephone_number": "501-708-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041858",
            "telephone_number": "501-708-5383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2521 McCallum Dr",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721201645",
            "country_code": "US",
            "telephone_number": "501-708-5383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "MAKALA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "227818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jean Crume, MSW
• Bailey Nicole Crumpler, SLP
• Linda Crumpler
• Stephanie Crumpton
• Alexis Sarah Crutchfield, PHARMD
• Leah K Cruthis, APRN
• Zoey M Crystal, MD, MPH
• CSCB Rehabilitation Management Group, LLC
• Lauren McKenzie Csonka, AUD
• Julia Cucarola, MD

• Acute Care Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.