Active NPI
Janna R Crosnoe, M.D.
- Family Medicine Physician
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 106393
- Practice address
- 408 S Broadview St
Cape Girardeau, MO 63703-5725 - Phone
- (573) 332-0808
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 106393 | MO | Primary |
Addresses
Primary practice location
408 S Broadview St
Cape Girardeau, MO 63703-5725
Mailing address
PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583
Other practice location 1
1702 N Kingshighway St
Cape Girardeau, MO 63701-2122
Phone (573) 339-0483
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208668004 | Medicaid | MO | |
| 603526 | Other | MO | ANTHEM BCBS |
| P00779915 | Other | MO | RR MCR |
| 333547 | Other | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Missouri, Columbia School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
408 S Broadview St
Cape Girardeau, MO 63703-5725
Phone (573) 332-0808
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Trails Medical Center | Current | Accepting new patients | |
| Cross Trails Medical Center | Current | Accepting new patients | |
| Global Wound Care Medical Group | Current | Accepting new patients | |
| Cross Trails Medical Center | Past | Accepting new patients |
Locations
5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861
2430 Golden St
Cape Girardeau, MO 63703
Phone (573) 332-0808
408 S Broadview St
Cpe Girardeau, MO 63703
Phone (573) 332-0808
109 State Highway 51 N
Marble Hill, MO 63764
Phone (573) 238-1110
1314 Brenda Ave
Perryville, MO 63775
Phone (573) 332-0808
7777 Bonhomme Ave
Ste 1800
Saint Louis, MO 63105
Phone (314) 209-2800
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Cape Girardeau, MO
- NPI 1356393268
-
- Federally Qualified Health Center (FQHC)
- Perryville, MO
- NPI 1215368402
-
- Federally Qualified Health Center (FQHC)
- Advance, MO
- NPI 1225191752
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
dba Mercy Hospital Southeast
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1720017296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801143",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641801143",
"telephone_number": "573-331-5583",
"fax_number": "573-331-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 S BROADVIEW ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035725",
"telephone_number": "573-332-0808"
}
],
"practiceLocations": [
{
"address_1": "1702 N Kingshighway St",
"address_purpose": "LOCATION",
"city": "Cape Girardeau",
"state": "MO",
"postal_code": "637012122",
"country_code": "US",
"telephone_number": "573-339-0483",
"fax_number": "573-339-1876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSNOE",
"first_name": "JANNA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "106393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208668004",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "603526",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00779915",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "333547",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.