Individual provider Active NPI

Jose Crossier, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Cape Coral, FL
National Provider Identifier
1396209649
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
APRN11001074 Issued in FL
Practice address
514 NE 16TH PL Unit 4-5
Cape Coral, FL 33909-2213
Phone
(239) 445-3683
Fax
(239) 829-9121
NPI assigned
Jan 30, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11001074 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11001074 FL
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN11001074 FL Primary

Addresses

Primary practice location

514 NE 16TH PL Unit 4-5
Cape Coral, FL 33909-2213

Mailing address

514 NE 16TH PL Unit 4-5
Cape Coral, FL 33909-2213
Phone (239) 445-3683

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
I20200821000332 FL Practitioner - Nurse Practitioner 5698191690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dove Behavioral Health LLCGroup PAC ID 8628437803, 7 clinicians

Practice addresses (Care Compare)

514 NE 16TH PL
Unit 4 5
Cape Coral, FL 33909-2213
Phone (305) 989-9541

514 NE 16TH Place
Unit 4 5
Cape Coral, FL 33909-2213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11001074FLMDFamily Nurse Practitioner
APRN11001074FLMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dove Behavioral Health LLC Psychiatric/Mental Health CurrentSince Mar 9, 2023 Accepting new patients

Locations

514 NE 16th Pl
Unit 45
Cape Coral, FL 33909
Phone (239) 445-3683

514 NE 16th Pl
Ste 4
Cape Coral, FL 33909

Organizations & group practices 1

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1396209649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 NE 16TH PL UNIT 4-5",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092213",
            "telephone_number": "239-445-3683",
            "fax_number": "239-829-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 NE 16TH PL UNIT 4-5",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092213",
            "telephone_number": "239-445-3683",
            "fax_number": "239-829-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSIER",
        "first_name": "JOSE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001074",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11001074",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11001074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.