Nicholas Crump, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

2010 Active Way
Bryant, AR 72022-9267

Phone

(501) 315-0984

Fax

(501) 847-1405

NPI assigned

Apr 19, 2021

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saline Clinics LLCGroup PAC ID 0547553836, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicholas.crump.1@16686.direct.athenahealth.com

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.

• Saline Clinics LLC

  • Gastroenterology Physician
  • Benton, AR
  • NPI 1447609367
  Medicare reassignment Care Compare group
• Saline Orthopedic Group P a

  dba Arkansas Bone & Joint

  • Orthopaedic Surgery Physician
  • Benton, AR
  • NPI 1093825002
  Medicare reassignment
• Saline Orthopedic Group P a

  dba Arkansas Bone and Joint PT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Benton, AR
  • NPI 1588348783
  NPD
• Saline Physician Services, LLC

  dba Bryant Medical Clinic

  • Internal Medicine Physician
  • Bryant, AR
  • NPI 1144559287
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1285215491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ACTIVE WAY",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229267",
            "telephone_number": "501-315-0984",
            "fax_number": "501-847-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ACTIVE WAY",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229267",
            "telephone_number": "501-315-0984",
            "fax_number": "501-847-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "NICHOLAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Pharmacy Bryant LLC (Cornerstone Pharmacy Bryant)
• Courtney Bickerstaff Apn,PLLC
• Sara Elizabeth Cowling
• Olivia Madison Cox
• Cathi Cranston, CCC-SLP
• Jada Nicori Crusterson
• Alyce Cummins
• Isabella Julianne Cunning
• Karla Curry
• Luke Joseph Curtis

• Surgical Physician Assistant in Bryant, AR
• Providers in Bryant, AR by specialty
• Surgical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.