Individual provider Active NPI

Casey Louise Crumb, CRNP

  • Family Nurse Practitioner
  • Pell City, AL
National Provider Identifier
1700225646
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1096872 Issued in AL
Practice address
70 Plaza Dr
Pell City, AL 35125-9314
Phone
(205) 814-9284
Fax
(205) 338-0865
NPI assigned
Jun 24, 2013
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1096872 AL Primary

Addresses

Primary practice location

70 Plaza Dr
Pell City, AL 35125-9314

Mailing address

70 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 814-9284

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
I20140626001580 AL Practitioner - Nurse Practitioner 4284859661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

7191 Cahaba Valley Rd
Suite 300
Hoover, AL 35242-6461
Phone (205) 814-7206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1096872ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Med Care of Fort Payne, P.C. CurrentSince May 6, 2014 Accepting new patients
Doctors Med Care of Jacksonville, P.C. CurrentSince Jun 9, 2014 Accepting new patients
Birmingham Internal Medicine Associates, LLC Family CurrentSince Dec 1, 2020 Accepting new patients
Doctors Med Care of E Gadsden, P.C. CurrentSince May 26, 2014 Accepting new patients
Southern Family Practice and Occupational Medicine, Inc. Past Accepting new patients

Locations

1040 Glenn Blvd SW
Fort Payne, AL 35967
Phone (256) 845-6900

2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

1505 Pelham Rd S
Ste 2
Jacksonville, AL 36265
Phone (256) 435-7300

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

Interoperability endpoints

  • Direct secure messaging: casey.crumb.1@15135.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1700225646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PLAZA DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351259314",
            "telephone_number": "205-814-9284",
            "fax_number": "205-338-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PLAZA DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351259314",
            "telephone_number": "205-814-9284",
            "fax_number": "205-338-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMB",
        "first_name": "CASEY",
        "middle_name": "LOUISE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1096872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.