Individual provider Active NPI

Gregory Crowder, FNP

  • Nurse Practitioner
  • Scobey, MT
National Provider Identifier
1437136223
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
138005 Issued in MT
Practice address
105 5TH Ave
Daniels Memorial Healthcare Center
Scobey, MT 59263
Phone
(406) 487-2296
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20190424002301 MT Practitioner - Nurse Practitioner 1658400585 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138005MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniels Memorial Hospital Current Accepting new patients
Daniels Memorial Hospital CurrentSince Feb 4, 2019 Accepting new patients
Daniels Memorial Hospital CurrentSince Feb 4, 2019 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gcrowder@dmha.cernerdirect.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201454 NC
Nurse Practitioner 363L00000X 138005 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

105 5TH Ave
Daniels Memorial Healthcare Center
Scobey, MT 59263

Mailing address

PO Box 558
Scobey, MT 59263-0558
Phone (406) 688-9557

Other practice location 1

2380 W Arlington Blvd
Emergency Medicine
Greenville, NC 27834-2846
Phone (252) 744-0100

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
5000025667MedicaidNC
500025667OtherNCRAILROAD MEDICARE
7000323MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2018.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1437136223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "592630558",
            "telephone_number": "406-688-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 5TH AVE",
            "address_2": "DANIELS MEMORIAL HEALTHCARE CENTER",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "59263",
            "telephone_number": "406-487-2296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 W Arlington Blvd",
            "address_2": "Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342846",
            "country_code": "US",
            "telephone_number": "252-744-0100",
            "fax_number": "252-744-0128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201454",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "138005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5000025667",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500025667",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000323",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scobey, MT

Sources for this page

Verify at the official NPI Registry.