Individual provider Active NPI

Rebecca Crenshaw, MD

  • Neurology Physician
  • San Angelo, TX
National Provider Identifier
1205899622
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H7602 Issued in TX
Practice address
3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone
(325) 949-9555
NPI assigned
Apr 7, 2006
Last updated
Jun 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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 H7602 TX Primary

Addresses

Primary practice location

3555 Knickerbocker Rd
San Angelo, TX 76904-7610

Mailing address

3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 949-9555

Other identifiers 1

IdentifierTypeStateIssuer
8AM431OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040824000503 TX Practitioner - Neurology 7214901347 Reassigns benefits to 2 organizations
I20250123001950 NM Practitioner - Neurology 7214901347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical Branch at Galveston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Runnels County HospitalGroup PAC ID 6507757812, shared by 4 NPIs, 11 clinicians

Practice addresses (Care Compare)

7571 State Hwy 153
Winters, TX 79567-7439
Phone 3257541500519

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince Jan 20, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Aug 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Aug 1, 2004 Accepting new patients
Artesia General Hospital CurrentSince Jan 20, 2025 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Aug 1, 2004 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Neurology CurrentSince Aug 1, 2022 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients

Locations

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

3601 4th St
Ste 3A105
Lubbock, TX 79430
Phone (806) 743-2391

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411

3605 Executive Dr
San Angelo, TX 76904
Phone (325) 949-9555

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

Organizations & group practices 9

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1205899622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047610",
            "telephone_number": "325-949-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047610",
            "telephone_number": "325-949-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H7602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8AM431",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.