Individual provider Active NPI

Beth Ann Ruff-Crawford, N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • North Judson, IN
National Provider Identifier
1295061141
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
71000039A Issued in IN
Practice address
414 Lane St
North Judson, IN 46366-1226
Phone
(574) 896-4325
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 71000039A IN Primary

Addresses

Primary practice location

414 Lane St
North Judson, IN 46366-1226

Mailing address

540 Hospital Dr
Winamac, IN 46996-1173
Phone (574) 946-2194

Other practice location 1

540 Hospital Dr
Winamac, IN 46996-1173
Phone (574) 946-2194

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100109000006 IN Practitioner - Nurse Practitioner 2163563396 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71000039AINMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulaski Memorial Hospital Current Accepting new patients
Pulaski Memorial Hospital CurrentSince Sep 1, 2016 Accepting new patients
Pulaski Memorial Hospital CurrentSince Sep 1, 2016 Accepting new patients

Locations

414 Lane St
North Judson, IN 46366
Phone (574) 896-2257

540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

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": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1295061141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HOSPITAL DR",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961173",
            "telephone_number": "574-946-2194",
            "fax_number": "574-946-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 LANE ST",
            "city": "NORTH JUDSON",
            "state": "IN",
            "postal_code": "463661226",
            "telephone_number": "574-896-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Winamac",
            "state": "IN",
            "postal_code": "469961173",
            "country_code": "US",
            "telephone_number": "574-946-2194",
            "fax_number": "574-946-2143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFF-CRAWFORD",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IN",
            "license": "71000039A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Judson, IN

Sources for this page

Verify at the official NPI Registry.