Individual provider Active NPI

William John Crain, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, AL
National Provider Identifier
1649890286
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-159685 Issued in AL
Practice address
708 Will Halsey Way Ste C
Madison, AL 35758-2566
Phone
(256) 325-1349
NPI assigned
Apr 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-159685 AL Primary

Addresses

Primary practice location

708 Will Halsey Way Ste C
Madison, AL 35758-2566

Mailing address

2205 Beltline Rd SW
Decatur, AL 35601-3617
Phone (256) 973-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230824003020 AL Practitioner - Nurse Practitioner 4082077979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Behavioral Services IncGroup PAC ID 0042214868, 11 clinicians

Practice addresses (Care Compare)

708 Will Halsey Way
Suite C
Madison, AL 35758-2566
Phone (256) 325-1349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-159685ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Services Inc CurrentSince Jul 7, 2023 Accepting new patients
Sunshine Mental Wellness Inc CurrentSince Mar 2, 2024 Accepting new patients

Locations

2128 6th Ave SE
Ste 501
Decatur, AL 35601
Phone (256) 345-4492

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

708 Will Halsey Way
Ste C
Madison, AL 35758
Phone (256) 325-1349

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1649890286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013617",
            "telephone_number": "256-973-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 WILL HALSEY WAY STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582566",
            "telephone_number": "256-325-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-159685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.