Individual provider Active NPI

Kim Crum, CFNP

  • Family Nurse Practitioner
  • Marietta, OH
National Provider Identifier
1811082589
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA NP-2187 Issued in OH
Practice address
400 Matthew St Ste 211
Marietta, OH 45750-1656
Phone
(740) 236-4871
Fax
(740) 571-4358
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA NP-2187 OH Primary
Family Nurse Practitioner 363LF0000X 44209 WV

Addresses

Primary practice location

400 Matthew St Ste 211
Marietta, OH 45750-1656

Mailing address

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

Other practice location 1

218 Pike St
Marietta, OH 45750-3319
Phone (740) 236-4871

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kim.crum@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040228000559 OH Practitioner - Nurse Practitioner 9931096559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA NP-2187OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Aug 10, 2009 Accepting new patients
Marietta Memorial Hospital CurrentSince Aug 10, 2009 Accepting new patients
Marietta Memorial Hospital Past Accepting new patients

Locations

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

400 Matthew St
Ste 211
Marietta, OH 45750
Phone (740) 236-4871

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

800 Pike St
Ste 2
Marietta, OH 45750
Phone (740) 373-3960

802 Wayne St
Ste 204
Marietta, OH 45750
Phone (740) 374-4945

400 Matthew St
Ste 220
Marietta, OH 45750
Phone (740) 374-4273

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

424 Highland Ave
Williamstown, WV 26187
Phone (304) 375-4656

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.

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1811082589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635",
            "telephone_number": "740-374-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST STE 211",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501656",
            "telephone_number": "740-236-4871",
            "fax_number": "740-571-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Pike St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503319",
            "country_code": "US",
            "telephone_number": "740-236-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUM",
        "first_name": "KIM",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA NP-2187",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "44209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim.crum@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 211",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.