NPIMap

Individual provider Active NPI

Tanner Crossley, D.O.

  • Family Medicine Physician
  • Albia, IA
National Provider Identifier
1700237161
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05380 Issued in IA
Practice address
6582 156TH Street
Albia, IA 52531
Phone
(641) 932-7172
Fax
(641) 932-7172
NPI assigned
Jun 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OT017422 PA
Family Medicine Physician 207Q00000X 05380 IA Primary

Addresses

Primary practice location

6582 156TH Street
Albia, IA 52531

Mailing address

6582 165TH St
Albia, IA 52531-8793
Phone (641) 932-7172

Other practice location 1

120 Locust Ave Ext
Mount Morris, PA 15349-1355
Phone (724) 324-2626

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tannercrossley@mchalbia.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829000628 IA Practitioner - Family Practice 0345534467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe County HospitalGroup PAC ID 1759299217, shared by 4 NPIs, 26 clinicians

Practice addresses (Care Compare)

6580 165TH St
Albia, IA 52531-8793
Phone (641) 932-2134

6582 165TH St
Albia, IA 52531-8793

Hospital & facility affiliations

  • Elara Caring Home health agency, Chariton, IA, CCN 167293
  • Everystep Hospice, Des Moines, IA, CCN 161500
  • Monroe County Hospital Hospital, Albia, IA, CCN 161342
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Mahaska Health Partnership Hospital, Oskaloosa, IA, CCN 161379
  • Monroe County Hospital Nursing home, CCN 16Z342

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05380IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe County Hospital Family Medicine Current Accepting new patients
Monroe County Hospital Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Monroe County Hospital Current Accepting new patients

Locations

6582 165th St
Albia, IA 52531
Phone (641) 932-7172

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monroe County HospitalAlbia, IA, CCN 161342 Hospital W-2 Managing Employee
Operational/Managerial Control		 Jan 12, 2021
Jan 12, 2021
Monroe County HospitalAlbia, IA, CCN 16Z342 Hospital W-2 Managing Employee
Operational/Managerial Control		 Jan 12, 2021
Jan 12, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 9

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1700237161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6582 165TH ST",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525318793",
            "telephone_number": "641-932-7172",
            "fax_number": "641-932-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6582 156TH STREET",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "52531",
            "telephone_number": "641-932-7172",
            "fax_number": "641-932-7172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Locust Ave Ext",
            "address_purpose": "LOCATION",
            "city": "Mount Morris",
            "state": "PA",
            "postal_code": "153491355",
            "country_code": "US",
            "telephone_number": "724-324-2626",
            "fax_number": "724-324-5838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSLEY",
        "first_name": "TANNER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT017422",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "05380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tannercrossley@mchalbia.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "tannercrossley@mchalbia.cernerdirect.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6582 156th Street",
            "city": "Albia",
            "state": "IA",
            "country_code": "US",
            "postal_code": "52531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albia, IA

Sources for this page

Verify at the official NPI Registry.