Individual provider Active NPI

Emily Kay Crouse, FNP-C

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1861735300
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013004691 Issued in MO
Practice address
3801 S National Ave Ste 900
Springfield, MO 65807-5210
Phone
(417) 885-3888
Fax
(417) 520-5959
NPI assigned
Apr 3, 2013
Last updated
Sep 30, 2021By the provider in NPPES
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
Family Nurse Practitioner 363LF0000X 2013004691 MO Primary
Registered Nurse 163W00000X 2004018102 MO

Addresses

Primary practice location

3801 S National Ave Ste 900
Springfield, MO 65807-5210

Mailing address

PO Box 4024
Springfield, MO 65808-4024
Phone (417) 885-3888

Other practice location 1

1229 E Seminole St
Ste 520
Springfield, MO 65804-2227
Phone (417) 820-5066

Other identifiers 4

IdentifierTypeStateIssuer
431560263OtherMOTRICARE
P01208063OtherMORR MCR
198607758MedicaidAR
1861735300MedicaidMO

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
I20130719000216 MO Practitioner - Nurse Practitioner 8325289291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.21 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
65.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004018102MOMDRegistered Nurse
2013004691MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Neurological Institute, L.L.C. CurrentSince Apr 1, 2020 Accepting new patients
Springfield Neurological and Spine Institute CurrentSince Mar 1, 2021 Accepting new patients
Springfield Neurological Institute, L.L.C. CurrentSince Apr 1, 2020 Accepting new patients
Springfield Neurological and Spine Institute CurrentSince Mar 1, 2021 Accepting new patients
Springfield Neurological and Spine Institute Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1411 E Primrose St
Ste C
Springfield, MO 65804
Phone (417) 882-1207

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 882-1207

3801 S National Ave
Ste 900
Springfield, MO 65807
Phone (417) 269-2710

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1861735300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4024",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084024",
            "telephone_number": "417-885-3888",
            "fax_number": "417-520-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE STE 900",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-885-3888",
            "fax_number": "417-520-5959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 E Seminole St",
            "address_2": "Ste 520",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042227",
            "country_code": "US",
            "telephone_number": "417-820-5066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "EMILY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013004691",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2004018102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431560263",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P01208063",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198607758",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861735300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.