Individual provider Active NPI

Jordyne Payne, FNP-BC

  • Family Nurse Practitioner
  • Crystal Cty, MO
National Provider Identifier
1851006522
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023001831 Issued in MO
Practice address
1390 US Highway 61 Ste G1000
Crystal Cty, MO 63028-4136
Phone
(636) 933-7400
Fax
(636) 933-7403
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023001831 MO Primary

Addresses

Primary practice location

1390 US Highway 61 Ste G1000
Crystal Cty, MO 63028-4136

Mailing address

1390 US Highway 61 Ste G1000
Crystal Cty, MO 63028-4136
Phone (636) 933-7400

Other practice location 1

650 S Mount Auburn Rd Ste 101
Cape Girardeau, MO 63703-4940
Phone (573) 519-4960

Other names 1

  • Jordyne F Crunk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230411001623 MO Practitioner - Nurse Practitioner 9032584701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Practice addresses (Care Compare)

1390 US Hwy 61
Suite G1000
Festus, MO 63028-4136
Phone (636) 933-7400

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822

650 S Mount Auburn Rd
Cape Girardeau, MO 63703-4940

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2023001831MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

650 S Mount Auburn Rd
Cape Girardeau, MO 63703
Phone (573) 519-4960

650 S Mount Auburn Rd
Ste 101
Cape Girardeau, MO 63703
Phone (573) 519-4960

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

Organizations & group practices 2

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1851006522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE G1000",
            "city": "CRYSTAL CTY",
            "state": "MO",
            "postal_code": "630284136",
            "telephone_number": "636-933-7400",
            "fax_number": "636-933-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE G1000",
            "city": "CRYSTAL CTY",
            "state": "MO",
            "postal_code": "630284136",
            "telephone_number": "636-933-7400",
            "fax_number": "636-933-7403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 S Mount Auburn Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637034940",
            "country_code": "US",
            "telephone_number": "573-519-4960",
            "fax_number": "573-519-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JORDYNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023001831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDYNE",
            "last_name": "CRUNK",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crystal Cty, MO

Sources for this page

Verify at the official NPI Registry.