Kanina Diane Crosen, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-105028 Issued in AL

Practice address

96 Ali Way
Oxford, AL 36203-1835

Phone

(256) 832-8802

Fax

(256) 832-8877

NPI assigned

Nov 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crosen Medical, LLCGroup PAC ID 5395905624, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kanina.crosen.1@31010.direct.athenahealth.com

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.

• Crosen Medical, LLC

  • Adult Health Nurse Practitioner
  • Oxford, AL
  • NPI 1528330842
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1346541273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 ALI WAY",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031835",
            "telephone_number": "256-832-8802",
            "fax_number": "256-832-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 ALI WAY",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031835",
            "telephone_number": "256-832-8802",
            "fax_number": "256-832-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSEN",
        "first_name": "KANINA",
        "middle_name": "DIANE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-105028",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN208438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Nicholson Collier, RPH
• Complete Vitality LLC (Vmed)
• Covenant Specialty Therapeutics, Inc
• Kristin Covington, PT, DPT
• Crosen Medical, LLC
• Ashley Nicole Crossley, LBSW
• Crosslife Counseling & Coaching, LLC
• Teresa C Davis, CRNP
• Keith Dinklage, M.D.
• Diversicare of Oxford, LLC (Diversicare of Oxford)

• Adult Health Nurse Practitioner in Oxford, AL
• Providers in Oxford, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.

Verify at the official NPI Registry.