Individual provider Active NPI

Imani Crosby

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1831674555
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP138094 Issued in TX
Practice address
7910 Belt Line Rd
Dallas, TX 75254-8130
Phone
(972) 980-6753
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 54066 NM
Nurse Practitioner 363L00000X AP138094 TX Primary

Addresses

Primary practice location

7910 Belt Line Rd
Dallas, TX 75254-8130

Mailing address

7910 Belt Line Rd
Dallas, TX 75254-8130

Other practice location 1

127 Sandoval Rd SW
Los Lunas, NM 87031-7320
Phone (505) 865-3373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211103000286 TX Practitioner - Nurse Practitioner 8022361518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians

Practice addresses (Care Compare)

11888 Marsh LN
Suite 104
Dallas, TX 75234-8083
Phone (972) 488-9222

2205 N Tarrant Pkwy
Fort Worth, TX 76177-2204
Phone (817) 328-3320

3304 Alma Dr
Plano, TX 75023-7333
Phone (972) 424-6581

4401 Little Rd
Suite 520
Arlington, TX 76016-5621
Phone (682) 318-3114

6350 E Mockingbird LN
Dallas, TX 75214-2622
Phone (214) 828-0448

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Urgent Care, LLC CurrentSince Jan 26, 2025 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 1, 2024 Accepting new patients
Optumcare New Mexico LLC CurrentSince May 6, 2024 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 1, 2024 Accepting new patients
Primamed Physicians PLLC CurrentSince Aug 26, 2021 Accepting new patients
Citimed, P.a. Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients

Locations

8201 Golf Course Rd NW
Ste A3
Albuquerque, NM 87120
Phone (505) 800-7070

5504 Menaul Blvd NE
Ste F
Albuquerque, NM 87110
Phone (505) 348-2868

127 Sandoval Rd SW
Los Lunas, NM 87031
Phone (505) 865-3373

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

7910 Belt Line Rd
Dallas, TX 75254
Phone (972) 980-6753

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • Direct secure messaging: imani.crosbyfnp.p11@direct.nextcare.nextgenshare.com

Organizations & group practices 7

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1831674555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 BELT LINE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 BELT LINE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548130",
            "telephone_number": "972-980-6753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Sandoval Rd SW",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870317320",
            "country_code": "US",
            "telephone_number": "505-865-3373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "IMANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "54066",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP138094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.