Individual provider Active NPI

Summer R. Cross, A.P.R.N.

  • Family Nurse Practitioner
  • Murray, KY
National Provider Identifier
1275711491
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3005504 Issued in KY
Practice address
312 S 8TH St
Murray, KY 42071-2428
Phone
(270) 753-2395
Fax
(270) 759-4745
NPI assigned
Feb 11, 2008
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3005504 KY Primary

Addresses

Primary practice location

312 S 8TH St
Murray, KY 42071-2428

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other identifiers 2

IdentifierTypeStateIssuer
000000610458OtherKYBCBS
7100044990MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20080527000243 KY Practitioner - Nurse Practitioner 8921177353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

125 S 20TH St
Paducah, KY 42001-7100
Phone (270) 415-0467

2006 Holiday LN
Fulton, KY 42041-8468
Phone (270) 413-1001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Sep 12, 2022 Accepting new patients
Arcare Current Accepting new patients
Arcare CurrentSince Sep 12, 2022 Accepting new patients
Western Baptist Medical Ventures, Inc. Family Past Accepting new patients

Locations

312 S 8th St
Murray, KY 42071
Phone (270) 753-2395

125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467

Interoperability endpoints

  • Direct secure messaging: summer.cross.1@15251.direct.athenahealth.com
  • Direct secure messaging: summer.cross@arcare.directbygreenway.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Murray PediatricsMurray, KY, CCN B08914 Rural health clinic Corporate Officer Apr 1, 2022
Murray Medical AssociatesMurray, KY, CCN B08915 Rural health clinic Corporate Officer Apr 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, 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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1275711491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-301-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S 8TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712428",
            "telephone_number": "270-753-2395",
            "fax_number": "270-759-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "SUMMER",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000610458",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100044990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.