Active NPI
Feneta Forbes-Crowe, NP
- Nurse Practitioner
- Wellfleet, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP12479
- Practice address
- 3130 State Hwy Rte 6
Wellfleet, MA 02667-7402 - Phone
- (508) 349-3131
- NPI assigned
- Aug 16, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN514975 | Medicaid | CA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP12479 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers | Current | Accepting new patients | |
| Family Health Centers | Current | Accepting new patients | |
| Family Health Centers | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Okanogan, WA
- NPI 1609804392
-
- Federally Qualified Health Center (FQHC)
- Twisp, WA
- NPI 1679962401
-
- Federally Qualified Health Center (FQHC)
- Brewster, WA
- NPI 1821340092
-
- Durable Medical Equipment & Medical Supplies
- Yuba City, CA
- NPI 1851437388
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mid-Valley Hospital
- Critical Access Hospital
- Omak, WA
- NPI 1255387403
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.