Individual provider Active NPI

Ronda Crews, ARNP

  • Family Nurse Practitioner
  • Jacksonville Beach, FL
National Provider Identifier
1326587106
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9227420 Issued in FL
Practice address
1370 13TH Ave S Ste 218
Jacksonville Beach, FL 32250-3206
Phone
(904) 853-6154
Fax
(904) 853-6412
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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 APRN9227420 FL Primary

Addresses

Primary practice location

1370 13TH Ave S Ste 218
Jacksonville Beach, FL 32250-3206

Mailing address

1370 13TH Ave S Ste 218
Jacksonville Beach, FL 32250-3206
Phone (904) 853-6154

Other practice location 1

1370 S 13th Ave
Suite 218
Jacksonville Beach, FL 32250
Phone (904) 853-6154

Other identifiers 1

IdentifierTypeStateIssuer
020029400MedicaidFL

Other names 1

  • Ms. Ronda Crews Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171110000466 FL Practitioner - Nurse Practitioner 5597021352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Florida Lung ClinicGroup PAC ID 5395097109, 3 clinicians

Practice addresses (Care Compare)

1370 13TH Ave S
Suite 218
Jacksonville, FL 32250-3206
Phone (904) 853-6154

Hospital & facility affiliations

  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9227420FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Finca de San Juan, LLC Current Accepting new patients
Northeast Florida Lung Clinic CurrentSince Aug 25, 2018 Accepting new patients
Omega Health and Nutrition LLC PastSince Sep 9, 2020 Accepting new patients

Locations

1370 13th Ave S
Ste 218
Jax Bch, FL 32250
Phone (904) 402-3932

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rondacrews@djpm-fl.direct.office.nextgen.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1326587106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 13TH AVE S STE 218",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503206",
            "telephone_number": "904-853-6154",
            "fax_number": "904-853-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 13TH AVE S STE 218",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503206",
            "telephone_number": "904-853-6154",
            "fax_number": "904-853-6412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 S 13th Ave",
            "address_2": "Suite 218",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "32250",
            "country_code": "US",
            "telephone_number": "904-853-6154",
            "fax_number": "904-853-6412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREWS",
        "first_name": "RONDA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9227420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020029400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONDA",
            "last_name": "CREWS",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.