Individual provider Active NPI

Jordan Brittany Crutchfield, NP

  • Nurse Practitioner
  • Danville, KY
National Provider Identifier
1366938441
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3012476 Issued in KY
Practice address
217 S 3Rd St
Danville, KY 40422-1823
Phone
(859) 239-1000
NPI assigned
Jul 2, 2018
Last updated
Jul 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012476 KY Primary

Addresses

Primary practice location

217 S 3Rd St
Danville, KY 40422-1823

Mailing address

133 Longview CT
Lancaster, KY 40444-9545
Phone (859) 339-9823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20181121002635 KY Practitioner - Nurse Practitioner 6709130180 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empact Midwest LLCGroup PAC ID 9436577517, 25 clinicians

Practice addresses (Care Compare)

1509 Louisville Rd
Harrodsburg, KY 40330-8622
Phone (859) 734-5770

216 W Walnut St
Danville, KY 40422-1832

217 S 3Rd St
Danville, KY 40422-1823

464 Linden Ave
Harrodsburg, KY 40330-1882
Phone (859) 734-5441

466 Linden Ave
Harrodsburg, KY 40330-1841

470 Linden Ave
Suite B
Harrodsburg, KY 40330-1871
Phone (859) 733-5890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc Nurse Practitioner CurrentSince Jun 18, 2024 Accepting new patients
Family Practice Clinic of Booneville, Inc. CurrentSince Jan 14, 2022 Accepting new patients
Ephraim McDowell Health Resource, Inc. CurrentSince Jun 18, 2024 Accepting new patients
Ephraim McDowell Health Resource, Inc. Nurse Practitioner Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Jun 18, 2024 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Current Accepting new patients
Mountain Family Practice Clinic of Manchester Inc CurrentSince Jan 14, 2022 Accepting new patients
The James B. Haggin Memorial Hospital Inc Nurse Practitioner CurrentSince Jun 18, 2024 Accepting new patients
Empact Midwest LLC Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
Lancaster Family Health Care Nurse Practitioner PastSince May 8, 2022 Accepting new patients

Locations

200 Mulberry St
#A
Booneville, KY 41314
Phone (606) 596-0701

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1509 Louisville Rd
Harrodsburg, KY 40330
Phone (859) 236-7712

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1366938441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LONGVIEW CT",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404449545",
            "telephone_number": "859-339-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221823",
            "telephone_number": "859-239-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "JORDAN",
        "middle_name": "BRITTANY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.