Individual provider Active NPI

Deangela Lynn Crutcher, M.D.

  • Obstetrics & Gynecology Physician
  • Evansville, IN
National Provider Identifier
1245244789
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01057793A Issued in IN
Practice address
3700 Washington Ave
Ste 2200
Evansville, IN 47714-0541
Phone
(812) 485-7111
Fax
(812) 485-7919
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01057793A IN Primary

Addresses

Primary practice location

3700 Washington Ave
Ste 2200
Evansville, IN 47714-0541

Mailing address

3700 Washington Ave # 2200
Evansville, IN 47714-0541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050929001325 IN Practitioner - Obstetrics/Gynecology 0446285258 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057793AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Physician Network LLC. Obstetrics & Gynecology CurrentSince Jun 21, 2022 Accepting new patients
Partners in Women's Reproductive Health, LLC Obstetrics & Gynecology CurrentSince Dec 1, 2013 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center PastSince Jun 21, 2022 Accepting new patients

Locations

3700 Washington Ave
Ste 2200
Evansville, IN 47714
Phone (812) 485-7111

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

5320 Weston Rd
Evansville, IN 47712
Phone (812) 428-2273

3700 Washington Ave
#2200
Evansville, IN 47714
Phone (812) 485-7111

7839 S Professional Dr
Fort Branch, IN 47648
Phone (812) 753-5903

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1245244789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE # 2200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "address_2": "STE 2200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-7111",
            "fax_number": "812-485-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHER",
        "first_name": "DEANGELA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01057793A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.