Individual provider Active NPI

Thomas Crowley, FNP-BC

  • Family Nurse Practitioner
  • Sullivan, IN
National Provider Identifier
1558148593
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014297A Issued in IN
Practice address
112 E Jackson St
Sullivan, IN 47882-1527
Phone
(812) 780-8080
Fax
(812) 234-0446
NPI assigned
Sep 13, 2023
Last updated
May 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71014297A IN Primary
Nurse Practitioner 363L00000X 209031541 IL

Addresses

Primary practice location

112 E Jackson St
Sullivan, IN 47882-1527

Mailing address

224 Highland CT
Terre Haute, IN 47802-4956
Phone (812) 230-5593

Other practice location 1

1711 N 6th 1/2 St
Terre Haute, IN 47804-2700
Phone (812) 238-7504

Other practice location 2

4733 S 7th St
Terre Haute, IN 47802-4559
Phone (812) 231-2053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231013000503 IN Practitioner - Nurse Practitioner 9638524465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209031541ILMDNurse Practitioner
71014297AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Nov 7, 2023 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Nov 7, 2023 Accepting new patients

Locations

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

Interoperability endpoints

  • Direct secure messaging: tcrowley@unionhealth.cernerdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1558148593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HIGHLAND CT",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024956",
            "telephone_number": "812-230-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E JACKSON ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821527",
            "telephone_number": "812-780-8080",
            "fax_number": "812-234-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 N 6th 1/2 St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478042700",
            "country_code": "US",
            "telephone_number": "812-238-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4733 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024559",
            "country_code": "US",
            "telephone_number": "812-231-2053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "THOMAS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014297A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209031541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, IN

Sources for this page

Verify at the official NPI Registry.