Individual provider Active NPI

Carrie Ann Crigger, D.O.

  • Pediatrics Physician
  • Jeffersonville, IN
National Provider Identifier
1336311240
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
02003801A Issued in IN
Practice address
207 Sparks Ave
Suite 403
Jeffersonville, IN 47130-3739
Phone
(812) 288-9141
Fax
(812) 288-1023
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 02003801A IN Primary

Addresses

Primary practice location

207 Sparks Ave
Suite 403
Jeffersonville, IN 47130-3739

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9337

Other identifiers 3

IdentifierTypeStateIssuer
IN4465059OtherININ MEDICARE
7100131320MedicaidKY
201016580MedicaidIN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916001592 IN Practitioner - Pediatric Medicine 8921483652 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Apr 1, 2024 Accepting new patients
Norton Clark Physician Practices, LLC Pediatrics CurrentSince Jun 14, 2022 Accepting new patients

Locations

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923

207 Sparks Ave
Ste 403
Jeffersonvlle, IN 47130
Phone (812) 288-9141

Interoperability endpoints

  • Direct secure messaging: ccrigger46200@direct.nortonhealthcare.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.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1336311240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9337",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SPARKS AVE",
            "address_2": "SUITE 403",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303739",
            "telephone_number": "812-288-9141",
            "fax_number": "812-288-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIGGER",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "02003801A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN MEDICARE",
            "identifier": "IN4465059",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100131320",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201016580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.