NPIMap

Organization Active NPI

Crosen Medical, LLC

  • Adult Health Nurse Practitioner
  • Oxford, AL
National Provider Identifier
1528330842
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-105028 Issued in AL
Legal business name
CROSEN MEDICAL, LLC
Practice address
96 Ali Way
Oxford, AL 36203-1835
Phone
(256) 832-8802
NPI assigned
Feb 1, 2012
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Zachary Crosen
Title
Office Manager
Phone
(256) 454-2508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 1-105028 AL Primary

Addresses

Primary practice location

96 Ali Way
Oxford, AL 36203-1835

Mailing address

96 Ali Way
Oxford, AL 36203-1835
Phone (256) 832-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120323000585 AL Part B Supplier - Clinic/Group Practice 5395905624 Receives reassigned benefits from 5 practitioners
Practice locations: Oxford, AL

National Provider Directory

National Provider Directory

Locations

320 Snow St
Ste A
Oxford, AL 36203
Phone (256) 231-9305

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1528330842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 ALI WAY",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031835",
            "telephone_number": "256-832-8802",
            "fax_number": "256-832-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 ALI WAY",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031835",
            "telephone_number": "256-832-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSEN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "CROSEN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-454-2508"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-105028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.