Active NPI
Meredith A Crider, APRN
- Primary Care Nurse Practitioner
- Benton, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 3013300
- Practice address
- 615 Old Symsonia Rd
Benton, KY 42025-5042 - Phone
- (270) 527-4800
- Fax
- (270) 527-4910
- NPI assigned
- Apr 13, 2019
- Last updated
- Jul 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 3013300 | KY | Primary |
Addresses
Primary practice location
615 Old Symsonia Rd
Benton, KY 42025-5042
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mereditha2016@outlook.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 Old Symsonia Rd
Benton, KY 42025-5042
Phone (270) 527-4800
617 Old Symsonia Rd
Benton, KY 42025-5042
Phone (270) 527-2411
619 Old Symsonia Rd
Benton, KY 42025-5042
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013300 | KY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Medical Staffing PLLC | Current | Accepting new patients | |
| Marshall County Hospital District | Current | Accepting new patients | |
| MD Partners, PLLC | Current | Accepting new patients | |
| Marshall County Hospital District | Current | Accepting new patients | |
| Marshall County Hospital District | Past | Accepting new patients | |
| Baptist Health Medical Group Inc | Past | Accepting new patients |
Locations
615 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-4800
617 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-2411
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
2501 Kentucky Ave
Fl 5
Paducah, KY 42003
Phone (270) 415-7794
2501 Kentucky Ave
Ste 101
Paducah, KY 42003
Phone (270) 442-8575
4620 Village Square Dr
Paducah, KY 42001
Phone (270) 442-8575
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/marshal-fc975078
- mcrider666036@direct.bsmhealth.org
Organizations & group practices 6
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.
-
dba Marshall Co Surgical & Medical Group
- Family Medicine Physician
- Benton, KY
- NPI 1689778250
-
- Emergency Medicine Physician
- Benton, KY
- NPI 1902101124
-
dba Wilson Medical Staffing
- Internal Medicine Physician
- Paducah, KY
- NPI 1033757638
-
dba Marshall County Surgical & Medical Group
- Rural Health Clinic/Center
- Benton, KY
- NPI 1962873109
-
- Hospitalist Physician
- Paducah, KY
- NPI 1992108682
-
- Critical Access Hospital
- Benton, KY
- NPI 1568528594
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Benton, KY
- NPI 1568528594
-
- Medicare Defined Swing Bed Hospital Unit
- Benton, KY
- NPI 1790840056
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1447713623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-9600",
"fax_number": "270-744-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 OLD SYMSONIA RD",
"city": "BENTON",
"state": "KY",
"postal_code": "420255042",
"telephone_number": "270-527-4800",
"fax_number": "270-527-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIDER",
"first_name": "MEREDITH",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-13",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "KY",
"license": "3013300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mereditha2016@outlook.com",
"affiliation": "N",
"endpointDescription": "direct email",
"address_1": "4620 Village Square Dr",
"city": "Paducah",
"state": "KY",
"country_code": "US",
"postal_code": "420017501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Benton, KY
- Joanna Sue Colson
- Community Alternatives Kentucky, Inc.
- Community Care of Kentucky Inc.
- Community Options, Inc.
- Comprehensive Pharmacy Solutions, LLC (Comprehensive Pharmacy Solutions)
- Rebecca Jean Crider, MPT, WCC
- Levi Crossley, MSOT, OTR/L
- Andrew Steven Cude, DMD
- Timothy Allen Cude, DMD
- Mary Jane Darnell, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.