Individual provider Active NPI

Gayle Ann Crosley, APRN-RX

  • Adult Health Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1316030976
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN044365 Issued in AZ
Practice address
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone
(808) 933-0468
Fax
(808) 974-6967
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN044365 AZ Primary

Addresses

Primary practice location

1190 Waianuenue Ave
Hilo, HI 96720-2089

Mailing address

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 933-0468

Other identifiers 1

IdentifierTypeStateIssuer
316185MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20110222000047 HI Practitioner - Nurse Practitioner 8729165584 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN044365AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Feb 22, 2011 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Hospice of Hilo CurrentSince May 9, 2016 Accepting new patients
Hilo Benioff Medical Center CurrentSince Feb 22, 2011 Accepting new patients
Hospice of Hilo PastSince May 9, 2016 Accepting new patients

Locations

590 Kapiolani St
Hilo, HI 96720
Phone (808) 969-1733

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1011 Waianuenue Ave
Hilo, HI 96720
Phone (808) 969-1733

Interoperability endpoints

  • Direct secure messaging: gcrosley20040@hhsc.direct-ci.com

Organizations & group practices 5

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1316030976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202089",
            "telephone_number": "808-933-0468",
            "fax_number": "808-974-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202089",
            "telephone_number": "808-933-0468",
            "fax_number": "808-974-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSLEY",
        "first_name": "GAYLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN-RX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN044365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316185",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.