Individual provider Active NPI

Kristina Crook

  • Neurology Physician
  • Port Charlotte, FL
National Provider Identifier
1740610062
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
APRN11034322 Issued in FL
Practice address
4161 Tamiami TRL Ste 201
Port Charlotte, FL 33952-9204
Phone
(941) 764-0800
Fax
(941) 764-6494
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X APRN11034322 FL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 470427099 MI
Family Nurse Practitioner 363LF0000X APRN11034322 FL
Adult Health Nurse Practitioner 363LA2200X APRN11034322 FL

Addresses

Primary practice location

4161 Tamiami TRL Ste 201
Port Charlotte, FL 33952-9204

Mailing address

4161 Tamiami TRL Ste 201
Port Charlotte, FL 33952-9204
Phone (941) 764-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219004255 FL Practitioner - General Practice 7618404294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology PAGroup PAC ID 9335162502, 3 clinicians

Practice addresses (Care Compare)

4161 Tamiami TR
Suite 201
Port Charlotte, FL 33952-9208
Phone (941) 764-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
470427099MIMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Sep 3, 2024 Accepting new patients
Neurology PA CurrentSince Apr 20, 2026 Accepting new patients
Florida Department of Health CurrentSince Sep 3, 2024 Accepting new patients
Bay-Arenac Behavioral Health Past Accepting new patients

Locations

4161 Tamiami Trl
Ste 201
Pt Charlotte, FL 33952
Phone (941) 764-0800

1100 Loveland Blvd
Punta Gorda, FL 33980
Phone (941) 624-7200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20881/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1740610062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 201",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-764-0800",
            "fax_number": "941-764-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 201",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-764-0800",
            "fax_number": "941-764-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "APRN11034322",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "470427099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034322",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11034322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.