Active NPI
Cassandra E Crowell
- Family Nurse Practitioner
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1075228
- Practice address
- 2202 Shady LN
Texarkana, TX 75503-3445 - Phone
- (903) 908-1705
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1075228 | TX | Primary |
Addresses
Primary practice location
2202 Shady LN
Texarkana, TX 75503-3445
Mailing address
2202 Shady LN
Texarkana, TX 75503-3445
Phone (903) 908-1705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231030001453 | TX | Practitioner - Nurse Practitioner | 7618323510 | Reassigns benefits to 2 organizations |
| I20241119002613 | AR | Practitioner - Nurse Practitioner | 7618323510 | Reassigns benefits to 1 organization |
| I20260309002421 | OK | Practitioner - Nurse Practitioner | 7618323510 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Access Medical Clinic Arkansas LLCTotal Wound Care of Oklahoma LLCTotal Wound Care of Arkansas,LLCTotal Wound Care of Texas LLC
Practice addresses (Care Compare)
1624 Pine St
Arkadelphia, AR 71923-4429
Phone (870) 464-9110
1900 NW Expressway
Suite 800
Oklahoma City, OK 73118-1804
Phone (405) 246-0811
4250 N Venetian LN
Fayetteville, AR 72703-5077
Phone (405) 246-0811
5575 Warren Pkwy
Suite 115
Frisco, TX 75034-4063
Phone (405) 246-0811
Hospital & facility affiliations
- Little River Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Wound Care of Texas LLC | Single Specialty | Current | Accepting new patients |
| Total Wound Care of Arkansas,LLC | Single Specialty | Current | Accepting new patients |
| Edgar Zambrano D.O, P.a | Single Specialty | Current | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Single Specialty | Current | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Single Specialty | Current | Accepting new patients |
| Total Wound Care of Oklahoma, LLC | Single Specialty | Current | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Single Specialty | Current | Accepting new patients |
Locations
609 SW 8th St
Bentonville, AR 72712
Phone (479) 966-4055
409 Woodruff St
Bradley, AR 71826
Phone (870) 330-6060
2280 E Main St
El Dorado, AR 71730
Phone (870) 444-5216
4250 N Venetian Ln
Fayetteville, AR 72703
16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706
4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100
1900 NW Expressway
Ste 800
Oklahoma City, OK 73118
Phone (405) 246-0812
5575 Warren Pkwy
Ste 115
Frisco, TX 75034
Phone (469) 200-6100
2300 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-1900
2015 Mulberry Ave
Mt Pleasant, TX 75455
Phone (903) 434-8030
2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044
2015 Mulberry Ave
Ste 210
Mt Pleasant, TX 75455
Phone (903) 434-8073
Interoperability endpoints
- cassandra.crowell.1@15024.direct.athenahealth.com
- cassandra.crowell.1@14285.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- McKinney, TX
- NPI 1225741937
Single Specialty, TX
-
- Internal Medicine Physician
- Fayetteville, AR
- NPI 1205655008
AR, Single Specialty
-
- Internal Medicine Physician
- Oklahoma City, OK
- NPI 1972269033
OK, Single Specialty
-
- Rural Health Clinic/Center
- Camden, AR
- NPI 1508563362
Single Specialty
-
- Rural Health Clinic/Center
- Salem, AR
- NPI 1578007647
Single Specialty
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": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1508599622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 SHADY LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033445",
"telephone_number": "903-908-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 SHADY LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033445",
"telephone_number": "903-908-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWELL",
"first_name": "CASSANDRA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1075228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.