Jenna Nicole Crozier

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110006094 Issued in VA

Practice address

5673 Airport Rd
Roanoke, VA 24012-1119

Phone

(540) 523-8080

Fax

(540) 512-9775

NPI assigned

Feb 20, 2018

Last updated

Feb 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Intercept Youth Services IncGroup PAC ID 2466748744, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Intercept Youth Services, Inc

  • Addiction Psychiatry Physician
  • Roanoke, VA
  • NPI 1730608217

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1871093401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 RIDGEVIEW DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240192337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 AIRPORT RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121119",
            "telephone_number": "540-523-8080",
            "fax_number": "540-512-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROZIER",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crouchs Pharmacy Inc
• Lindsay Catherine Crow
• Allen Wayne Crowder, P.A.
• Johnny Lee Crowe Jr., RBT
• Linda M Crowley, SLP
• Alexandra Lauren Crumbacher, PT, DPT
• Nicole Christopher Crump, LPC
• Cheryl Ann Crush
• Crystal's Healing Hands Massage, LLC
• Cspring LLC

• Physician Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.