Individual provider Active NPI

Dustin Michael Crovo, FNP, AG-ACNP, ENP

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1730707589
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180482 Issued in VA
Practice address
1201 S Hayes St
Arlington, VA 22202-2700
Phone
(703) 418-3790
NPI assigned
Jul 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11007688 FL
Gerontology Nurse Practitioner 363LG0600X 0024180482 VA
Family Nurse Practitioner 363LF0000X 0024180482 VA Primary

Addresses

Primary practice location

1201 S Hayes St
Arlington, VA 22202-2700

Mailing address

178 Zeus Mill LN
Madison, VA 22727-3110
Phone (321) 223-1723

Other practice location 1

340 NW Commerce Dr
Lake City, FL 32055-4709
Phone (386) 719-9000

Other practice location 2

501 Sunset Ln
Culpeper, VA 22701-3917
Phone (540) 829-4100

Other names 1

  • Dustin Michael Crovo Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcrovo472972@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200901000302 FL Practitioner - Nurse Practitioner 3476970807 Reassigns benefits to 1 organization
I20201222000667 VA Practitioner - Nurse Practitioner 3476970807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007688FLMDEmergency Medicine Physician
0024180482VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Sep 1, 2021 Accepting new patients
University of Virginia Physicians Group CurrentSince Jan 25, 2021 Accepting new patients
FL-I Medical Services LLC Emergency Medicine CurrentSince Aug 27, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2021 Accepting new patients
FL-I Medical Services LLC Emergency Medicine CurrentSince Aug 27, 2020 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Arnot Medical Services PLLC Emergency Medicine Past Accepting new patients

Locations

996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1730707589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 ZEUS MILL LN",
            "city": "MADISON",
            "state": "VA",
            "postal_code": "227273110",
            "telephone_number": "321-223-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S HAYES ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022700",
            "telephone_number": "703-418-3790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 NW Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320554709",
            "country_code": "US",
            "telephone_number": "386-719-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013917",
            "country_code": "US",
            "telephone_number": "540-829-4100",
            "fax_number": "540-829-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROVO",
        "first_name": "DUSTIN",
        "middle_name": "MICHAEL",
        "credential": "FNP, AG-ACNP, ENP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "11007688",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024180482",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcrovo472972@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 Sunset Ln",
            "city": "Culpeper",
            "state": "VA",
            "country_code": "US",
            "postal_code": "227013917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DUSTIN",
            "last_name": "CROVO",
            "middle_name": "MICHAEL",
            "credential": "FNP, AG-ACNP, ENP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.