Individual provider Active NPI

Amanda Christine Croasmun, FNP, RN

  • Family Nurse Practitioner
  • Norton, OH
National Provider Identifier
1255967261
Registry record updated Mar 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026296 Issued in OH
Practice address
3631 Durham Dr
Norton, OH 44203-6338
Phone
(330) 697-6367
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic Health System - East Region 97 clinicians

Practice addresses (Care Compare)

20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-6040

Hospital & facility affiliations

  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240113000335 OH Practitioner - Nurse Practitioner 1355793464 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026296OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Health System - East Region CurrentSince Nov 29, 2023 Accepting new patients

Locations

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

20000 Harvard Ave
Warrensville Heights, OH 44122
Phone (216) 491-7460

4110 Warrensville Center Rd
Warrensvl Hts, OH 44122
Phone (216) 491-6552

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.026296 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

3631 Durham Dr
Norton, OH 44203-6338

Mailing address

3631 Durham Dr
Norton, OH 44203-6338
Phone (330) 697-6367

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2020.

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1255967261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 DURHAM DR",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442036338",
            "telephone_number": "330-697-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 DURHAM DR",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442036338",
            "telephone_number": "330-697-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROASMUN",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, OH

Sources for this page

Verify at the official NPI Registry.