Individual provider Active NPI

Alicia Marie Crane, APRN

  • Family Nurse Practitioner
  • West Jefferson, NC
National Provider Identifier
1619311461
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015243 Issued in NC
Practice address
304 N Church Ave
West Jefferson, NC 28694-9550
Phone
(850) 501-9378
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP9247209 FL
Family Nurse Practitioner 363LF0000X 5015243 NC Primary

Addresses

Primary practice location

304 N Church Ave
West Jefferson, NC 28694-9550

Mailing address

304 N Church Ave
West Jefferson, NC 28694-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130613000437 FL Practitioner - Nurse Practitioner 6204075732 Reassigns benefits to 2 organizations
I20230505002255 NC Practitioner - Nurse Practitioner 6204075732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashe Multispecialty Group LLCGroup PAC ID 8022296318, 8 clinicians

Practice addresses (Care Compare)

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 846-7101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9247209FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hma Physician Management, LLC CurrentSince May 8, 2013 Accepting new patients
Ashe Financial Services, LLC CurrentSince Dec 27, 2022 Accepting new patients
Ashe Multispecialty Group, LLC CurrentSince Jun 13, 2023 Accepting new patients
Ashe Multispecialty Group, LLC CurrentSince Jun 13, 2023 Accepting new patients
Ashe Financial Services, LLC CurrentSince Dec 27, 2022 Accepting new patients
Ashe Multispecialty Group, LLC Current Accepting new patients
Ashe Multispecialty Group, LLC Past Accepting new patients

Locations

6072 Doctors Park
Milton, FL 32570
Phone (850) 626-5447

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

200 Hospital Ave
Ste 3
Jefferson, NC 28640
Phone (336) 846-7101

200 Hospital Ave
Bldg 2
Jefferson, NC 28640

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

2635 Oak Hill Rd
Mouth of Wilson, VA 24363
Phone (276) 579-2619

Interoperability endpoints

  • Direct secure messaging: alicia.crane.1@14562.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1619311461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N CHURCH AVE",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N CHURCH AVE",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949550",
            "telephone_number": "850-501-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9247209",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

Verify at the official NPI Registry.