Individual provider Active NPI

Amy Lynn Crowley, APRN

  • Family Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1538872197
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0135917 Issued in VT
Practice address
135 Granger St
Rutland, VT 05701-4405
Phone
(802) 772-0700
NPI assigned
Dec 28, 2022
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0135917 VT Primary

Addresses

Primary practice location

135 Granger St
Rutland, VT 05701-4405

Mailing address

135 Granger St
Rutland, VT 05701-4405
Phone (802) 772-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240504000343 VT Practitioner - Nurse Practitioner 5991145153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Forensic Consultation and Counseling ServiceGroup PAC ID 2668865205, 5 clinicians

Practice addresses (Care Compare)

135 Granger St
Rutland, VT 05701-4405
Phone (802) 772-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
101.0135917VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forensic Consultation & Counseling Service CurrentSince Apr 25, 2024 Accepting new patients

Locations

135 Granger St
Rutland, VT 05701
Phone (802) 747-3588

Organizations & group practices 1

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 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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1538872197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GRANGER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014405",
            "telephone_number": "802-772-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GRANGER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014405",
            "telephone_number": "802-772-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0135917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.