Individual provider Active NPI

Kristen Danielle Crumley, M.D.

  • Vascular & Interventional Radiology Physician
  • Fort Smith, AR
National Provider Identifier
1487159497
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
E-17134 Issued in AR
Practice address
5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Phone
(479) 452-9416
Fax
(479) 242-1990
NPI assigned
Mar 30, 2018
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X E-17134 AR Primary

Addresses

Primary practice location

5707 Jenny Lind Rd
Fort Smith, AR 72908-7435

Mailing address

PO Box 3887
Fort Smith, AR 72913-3887
Phone (479) 452-9416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708001231 AR Practitioner - Diagnostic Radiology 8325394901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologists PAGroup PAC ID 9830140607, 20 clinicians

Practice addresses (Care Compare)

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 452-9416

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.96 of 100Reported as group
Quality
99.75
Improvement activities
40
Cost
70.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologists PA CurrentSince Jun 1, 2024 Accepting new patients
Radiology Services P a Past Accepting new patients
Prime Medical Imaging, a Division of Radiologists, P.a. Past Accepting new patients

Locations

1501 S Waldron Rd
Ste 109
Fort Smith, AR 72903
Phone (479) 242-3310

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2561

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

320 S 9th St
Van Buren, AR 72956
Phone (479) 474-1616

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1487159497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3887",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729133887",
            "telephone_number": "479-452-9416",
            "fax_number": "479-242-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087435",
            "telephone_number": "479-452-9416",
            "fax_number": "479-242-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMLEY",
        "first_name": "KRISTEN",
        "middle_name": "DANIELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AR",
            "license": "E-17134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.