Active NPI
Gina M. Crusor-Price, FNP-BC
- Nurse Practitioner
- Highland, IN
National Provider Identifier
1487608428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71014056A
- Practice address
- 9008 Indianapolis Blvd
Highland, IN 46322-2501 - Phone
- (219) 513-8923
- Fax
- (219) 513-8941
- NPI assigned
- May 22, 2006
- Last updated
- Jun 28, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71014056A | IN | Primary |
Addresses
Primary practice location
9008 Indianapolis Blvd
Highland, IN 46322-2501
Mailing address
17112 California Ave
Hazel Crest, IL 60429-1118
Phone (708) 253-8205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200132000 | Medicaid | IN |
Other names 1
- Gina M. Crusor-Price
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanjay Patel, LLC | Current | Accepting new patients | |
| Aesquivel Professional Corporation | Past | Accepting new patients |
Locations
9008 Indianapolis Blvd
Highland, IN 46322
Phone (219) 513-8923
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Highland, IN
- NPI 1437538246
-
dba Professional Care Home Health Services
- Home Health Agency
- Highland, IN
- NPI 1891747986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1487608428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17112 CALIFORNIA AVE",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604291118",
"telephone_number": "708-253-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9008 INDIANAPOLIS BLVD",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463222501",
"telephone_number": "219-513-8923",
"fax_number": "219-513-8941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUSOR-PRICE",
"first_name": "GINA",
"middle_name": "M.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71014056A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200132000",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "CRUSOR-PRICE",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.