Meredith A Crider, APRN
Individual provider Active NPI Primary Care Nurse Practitioner · Benton, KY
NPI 1447713623 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1447713623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 3013300 (KY)
- Practice address
- 615 Old Symsonia Rd
Benton, KY 42025-5042 - Phone
- (270) 527-4800
- Fax
- (270) 527-4910
- NPI assigned
- Apr 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MD Partners, PLLC
Marshall County Hospital District
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
- Marshall County Hospital
- Marshall County Hospital
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 |
|---|---|---|---|---|
| I20190605001907 | KY | Practitioner - Nurse Practitioner | 8527391671 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
617 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-2411
615 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-4800
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
2501 Kentucky Ave
Ste 101
Paducah, KY 42003
Phone (270) 442-8575
4620 Village Square Dr
Paducah, KY 42001
Phone (270) 442-8575
2501 Kentucky Ave
Fl 5
Paducah, KY 42003
Phone (270) 415-7794
Interoperability endpoints
- mcrider666036@direct.bsmhealth.org
- https://fhir-usa.unify.chbase.com/org/marshal-fc975078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 3013300 | KY | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3013300 | Other | KY | APRN LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mereditha2016@outlook.com |
Other providers in Benton, KY
- Joanna Sue Colson
- Community Alternatives Kentucky, Inc.
- Community Care of Kentucky Inc.
- Community Options, Inc.
- Comprehensive Pharmacy Solutions, LLC
- Rebecca Jean Crider
- Levi Crossley
- Andrew Steven Cude
- Timothy Allen Cude
- Mary Jane Darnell
All providers in Benton, KY · Primary Care 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 7, 2020. 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.