Individual provider Active NPI

Amy Drescher-Crumpley, DNP, CNM, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • St Charles, IL
National Provider Identifier
1801907589
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277001413 Issued in IL
Practice address
2455 Dean St Ste 3G
St Charles, IL 60175-4830
Phone
(630) 254-8872
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 309-002705 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001413 IL Primary

Addresses

Primary practice location

2455 Dean St Ste 3G
St Charles, IL 60175-4830

Mailing address

2455 Dean St Ste 3G
St Charles, IL 60175-4830
Phone (630) 254-8872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190424002929 IL Practitioner - Nurse Practitioner 1658495940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgina Srinivas Rao, M.D., S.C.Group PAC ID 1052477981, 11 clinicians

Practice addresses (Care Compare)

1024 W Main St
Saint Charles, IL 60174-1745
Phone (630) 262-2640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
277001413ILMDPsychiatric/Mental Health Nurse Practitioner
309-002705ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network Past Accepting new patients
Radial Health SC Past Accepting new patients

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.

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": "1623196800000",
    "number": "1801907589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 DEAN ST STE 3G",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754830",
            "telephone_number": "630-254-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 DEAN ST STE 3G",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754830",
            "telephone_number": "630-254-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESCHER-CRUMPLEY",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "DNP, CNM, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "309-002705",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.