Individual provider Active NPI

Gayle M Crough, NP

  • Nurse Practitioner
  • Grass Valley, CA
National Provider Identifier
1700997681
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP11157 Issued in CA
Practice address
10058 Wolf Road
Grass Valley, CA 95949
Phone
(530) 745-1500
Fax
(530) 745-1505
NPI assigned
Aug 31, 2006
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP11157 CA Primary

Addresses

Primary practice location

10058 Wolf Road
Grass Valley, CA 95949

Mailing address

10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

Other identifiers 1

IdentifierTypeStateIssuer
RN298918MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040914001438 CA Practitioner - Nurse Practitioner 0941277321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

10058 Wolf Rd
Grass Valley, CA 95949-8194
Phone (530) 268-0847

2800 L St
Sacramento, CA 95816-5616

3288 Bell Rd
Auburn, CA 95603-9243
Phone (530) 886-2300

3320 Bell Rd
Auburn, CA 95603-9243
Phone (530) 888-1266

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP11157CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Nurse Practitioner CurrentSince Sep 21, 2011 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 21, 2011 Accepting new patients

Locations

3133 Professional Dr
Ste 20
Auburn, CA 95603
Phone (530) 885-8821

3288 Bell Rd
Auburn, CA 95603
Phone (530) 886-2300

10058 Wolf Rd
Grass Valley, CA 95949
Phone (530) 268-0847

10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827

2751 Del Paso Rd
Sacramento, CA 95835
Phone (916) 285-9372

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

980 Florin Rd
Sacramento, CA 95831
Phone (916) 286-8249

Interoperability endpoints

  • Direct secure messaging: gcroughnp23942@hisp.ehr.sutterhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1700997681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10058 WOLF ROAD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95949",
            "telephone_number": "530-745-1500",
            "fax_number": "530-745-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUGH",
        "first_name": "GAYLE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP11157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN298918",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.