Nichole Alida Crenshaw, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN2810992 Issued in FL

Practice address

18688 SW 16TH St
Pembroke Pines, FL 33029-6133

Phone

(954) 885-0614

NPI assigned

Aug 23, 2006

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Merit-based Incentive Payment System (MIPS)

Final score

91.01 of 100Reported as group

Quality

72.99

Promoting interoperability

82

Improvement activities

40

Cost

78.71

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Public Health Trust of Miami Dade County Florida

  dba JMG Specialty Physicians

  • General Practice Physician
  • Miami, FL
  • NPI 1134384423
  Medicare reassignment NPD
• Public Health Trust of Miami Dade County Florida

  • General Practice Physician
  • Hialeah, FL
  • NPI 1841149093
  NPD
• Public Health Trust of Dade County Florida

  dba JMG Specialty Physicians

  • Family Medicine Physician
  • Miami, FL
  • NPI 1902978695
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1669589180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18688 SW 16TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330296133",
            "telephone_number": "954-885-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18688 SW 16TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330296133",
            "telephone_number": "954-885-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "NICHOLE",
        "middle_name": "ALIDA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN2810992",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "2810992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cral Counseling Service
• Michelle Angelle Crawford, RBT
• Creative Friends Therapy LLC
• Edward Verlin Creel Jr., D.C.
• Lisa Creightney, COTA
• Rita Cresap
• Herman Crespo, LMT
• Maria Rosario Crespo, LMFT 4862
• CRH Clinic of Florida Inc
• Criticare Clinics Inc

• Adult Health Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.