Individual provider Active NPI

Feneta Forbes-Crowe, NP

  • Nurse Practitioner
  • Wellfleet, MA
National Provider Identifier
1619080371
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP12479 Issued in CA
Practice address
3130 State Hwy Rte 6
Wellfleet, MA 02667-7402
Phone
(508) 349-3131
NPI assigned
Aug 16, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP12479 CA Primary

Addresses

Primary practice location

3130 State Hwy Rte 6
Wellfleet, MA 02667-7402

Mailing address

PO Box 598
Harwich Port, MA 02646-0598
Phone (508) 905-2800

Other practice location 1

200 Mission Boulevard
Jackson, CA 95642-2564
Phone (209) 223-7500

Other identifiers 1

IdentifierTypeStateIssuer
RN514975MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040102000673 WA Practitioner - Nurse Practitioner 6507765138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health CentersGroup PAC ID 9739076217, 31 clinicians

Practice addresses (Care Compare)

1003 Koala Dr
Omak, WA 98841-9247
Phone (509) 422-5700

1400 Tacoma Ave
Bridgeport, WA 98813
Phone (800) 660-2129

541 W 2ND Ave
Twisp, WA 98856-9863
Phone (509) 422-8632

716 1St Ave S
Okanogan, WA 98840-9679
Phone (509) 422-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP12479CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers Current Accepting new patients
Family Health Centers CurrentSince Sep 1, 2025 Accepting new patients
Family Health Centers CurrentSince Sep 1, 2025 Accepting new patients
Sutter North Medical Foundatoin Past Accepting new patients

Organizations & group practices 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619080371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 598",
            "city": "HARWICH PORT",
            "state": "MA",
            "postal_code": "026460598",
            "telephone_number": "508-905-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 STATE HWY RTE 6",
            "city": "WELLFLEET",
            "state": "MA",
            "postal_code": "026677402",
            "telephone_number": "508-349-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 MISSION BOULEVARD",
            "address_purpose": "LOCATION",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422564",
            "country_code": "US",
            "telephone_number": "209-223-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBES-CROWE",
        "first_name": "FENETA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP12479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN514975",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellfleet, MA

Sources for this page

Verify at the official NPI Registry.