Jill Ryan Crawford, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Amherst, VA
NPI 1215776752 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1215776752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 0024190264 (VA)
- Practice address
- 115 Ambriar PLZ
Amherst, VA 24521-4741 - Phone
- (434) 946-9565
- NPI assigned
- May 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centra Medical Group LLC
Practice addresses (Care Compare)
115 Ambriar PLZ
Amherst, VA 24521-4741
Phone (434) 946-9565
Hospital & facility affiliations
- Centra Health - Lynchburg Gen Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240930004158 | VA | Practitioner - Nurse Practitioner | 0749711851 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024190264 | VA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group, LLC | Current |
Accepting new patients |
Locations
115 Ambriar Plz
Amherst, VA 24521
Phone (434) 381-6090
140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024190264 | VA | Yes |
Addresses
Primary practice location
115 Ambriar PLZ
Amherst, VA 24521-4741
Mailing address
1620 Pine Bluff Dr
Lynchburg, VA 24503-4935
Phone (434) 238-6605
Other providers in Amherst, VA
- Centra Medical Group, LLC
- Centra Medical Group, LLC
- Centra Post Acute Mental Health Services LLC
- Nicole Marie Coffey
- Commonwealth of Virginia State Board of Health
- Meaghan Terese Crook
- Robert Michael Curd
- Sharon Johnson Daughtry
- David M Harman MD LLC
- David M Harman MD LLC
All providers in Amherst, VA · Adult Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.