Active NPI
Rebecca Lee Crouch, M.D.
- Family Medicine Physician
- Jonesboro, LA
National Provider Identifier
1659383545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 013773
- Practice address
- 166 Beech Springs Rd
Jonesboro, LA 71251-2014 - Phone
- (318) 259-3668
- Fax
- (318) 259-3950
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 013773 | LA | Primary |
Addresses
Primary practice location
166 Beech Springs Rd
Jonesboro, LA 71251-2014
Mailing address
166 Beech Springs Rd
Jonesboro, LA 71251-2014
Phone (318) 259-3668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4647883 | Other | LA | AETNA ID NUMBER |
| 1934917 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rlcrouchmd@bellsouth.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040826000066 | LA | Practitioner - General Practice | 9436123205 | Practice locations: Jonesboro, LA |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1976
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
166 Beach Springs Rd
Jonesboro, LA 71251-2014
Phone (318) 259-3668
Hospital & facility affiliations
- Jackson Parish Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013773 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Bird Perkins Cancer Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Baton Rouge, LA
- NPI 1295833580
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jonesboro, LA
- NPI 1093793408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1659383545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 BEECH SPRINGS RD",
"city": "JONESBORO",
"state": "LA",
"postal_code": "712512014",
"telephone_number": "318-259-3668",
"fax_number": "318-259-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 BEECH SPRINGS RD",
"city": "JONESBORO",
"state": "LA",
"postal_code": "712512014",
"telephone_number": "318-259-3668",
"fax_number": "318-259-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "REBECCA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2024-03-20",
"certification_date": "2024-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "013773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID NUMBER",
"identifier": "4647883",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1934917",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rlcrouchmd@bellsouth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Messaging",
"address_1": "166 Beech Springs Rd",
"city": "Jonesboro",
"state": "LA",
"country_code": "US",
"postal_code": "712512014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jonesboro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.