Individual provider Active NPI

Tara Delynne Crank, APRN

  • Adult Health Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1487082301
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3008273 Issued in KY
Practice address
613 23Rd St Ste 230
Ashland, KY 41101
Phone
(606) 324-4745
Fax
(606) 324-4941
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3008273 KY Primary

Addresses

Primary practice location

613 23Rd St Ste 230
Ashland, KY 41101

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200

Other practice location 1

609 N Carol Malone Blvd Ste 105
Grayson, KY 41143-1123
Phone (606) 474-2235

Other practice location 2

1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653-1889
Phone (606) 886-0892

Other identifiers 3

IdentifierTypeStateIssuer
3810030108MedicaidWV
0146665MedicaidOH
7100389330MedicaidKY

Other names 1

  • Tara Hall Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020002848 KY Practitioner - Nurse Practitioner 4880903590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, 397 clinicians

Practice addresses (Care Compare)

613 23Rd St
Suite 230
Ashland, KY 41101-2868
Phone (606) 324-4745

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 18, 2015 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 18, 2015 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste 230
Ashland, KY 41101
Phone (606) 324-4745

1107 Bellefonte Rd
Flatwoods, KY 41139
Phone (606) 834-0125

1109 Bellefonte Rd
Flatwoods, KY 41139
Phone (606) 420-0220

609 N Carol Malone Blvd
#105
Grayson, KY 41143
Phone (606) 408-8200

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1487082301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 230",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-324-4745",
            "fax_number": "606-324-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 N Carol Malone Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431123",
            "country_code": "US",
            "telephone_number": "606-474-2235",
            "fax_number": "606-474-2236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1279 Old Abbott Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531889",
            "country_code": "US",
            "telephone_number": "606-886-0892",
            "fax_number": "606-886-9746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANK",
        "first_name": "TARA",
        "middle_name": "DELYNNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3008273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810030108",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146665",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100389330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "HALL",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.