Active NPI
Beth Crotty, NP
- Family Nurse Practitioner
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024173486
- Practice address
- 3 Riverside Cir
Roanoke, VA 24016 - Phone
- (540) 982-7390
- Fax
- (540) 982-3434
- NPI assigned
- Jan 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024173486 | VA | Primary |
Addresses
Primary practice location
3 Riverside Cir
Roanoke, VA 24016
Mailing address
3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 982-7390
Other practice location 1
550 Redstone Ave W
Crestview, FL 32536-6428
Phone (850) 306-2552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170
Hospital & facility affiliations
- Carilion Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024173486 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Vascular Associates LLC | Past | Accepting new patients |
Locations
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
3 Riverside Cir
Roanoke, VA 24016
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
Interoperability endpoints
- beth.crotty@gcd.eclinicaldirectplus.com
- bcrotty75852@direct.carilionclinic.org
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- Specialist
- Panama City, FL
- NPI 1821129313
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1316336332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RIVERSIDE CIR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164955",
"telephone_number": "540-982-7390",
"fax_number": "540-982-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RIVERSIDE CIR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24016",
"telephone_number": "540-982-7390",
"fax_number": "540-982-3434"
}
],
"practiceLocations": [
{
"address_1": "550 Redstone Ave W",
"address_purpose": "LOCATION",
"city": "Crestview",
"state": "FL",
"postal_code": "325366428",
"country_code": "US",
"telephone_number": "850-306-2552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROTTY",
"first_name": "BETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-14",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.