Jordan Brittany Crutchfield, NP
Individual provider Active NPI Nurse Practitioner · Danville, KY
NPI 1366938441 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1366938441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3012476 (KY)
- Practice address
- 217 S 3Rd St
Danville, KY 40422-1823 - Phone
- (859) 239-1000
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ephraim McDowell Health Resource Inc
The James B Haggin Memorial Hospital Inc
Empact Midwest LLC
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
- Ephraim McDowell Regional Medical Center
- The James B. Haggin Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.36 of 100
- Quality
- 64.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.25
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181121002635 | KY | Practitioner - Nurse Practitioner | 6709130180 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The James B. Haggin Memorial Hospital Inc | Nurse Practitioner | Current |
Accepting new patients |
| Mountain Family Practice Clinic of Manchester Inc | Current |
Accepting new patients | |
| Family Practice Clinic of Booneville, Inc. | Current |
Accepting new patients | |
| The James B. Haggin Memorial Hospital Inc | Current |
Accepting new patients | |
| Ephraim McDowell Health Resource, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Ephraim McDowell Health Resource, Inc. | Current |
Accepting new patients | |
| Nick Dedman, MD and Associates, P.S.C. | Current | Accepting new patients | |
| Empact Midwest LLC | Nurse Practitioner | Current |
Accepting new patients |
| Ephraim McDowell Health Resource, Inc | Nurse Practitioner | Current |
Accepting new patients |
| The James B. Haggin Memorial Hospital Inc | Current | Accepting new patients | |
| Lancaster Family Health Care | Nurse Practitioner | Past |
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
466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173
464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441
108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701
1012 Center Dr
Richmond, KY 40475
Phone (859) 626-9694
110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360
Interoperability endpoints
- https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3012476 | KY | Yes |
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
Other providers in Danville, KY
- Copper Creek Midwifery & Family Practice, LLC
- Jessica M Cornelius
- Bridgette E. Coulter
- Donald Jeff Covell
- Elizabeth Ann Coyle
- Crystal Clear Counseling, LLC
- David Milton Culpepper
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
All providers in Danville, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.