Individual provider Active NPI

Timothy L Crouch, ARNP

  • Family Nurse Practitioner
  • Ephrata, WA
National Provider Identifier
1881483543
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70046196 Issued in WA
Practice address
200 Nat Washington Way
Ephrata, WA 98823-1982
Phone
(509) 754-4631
Fax
(509) 754-6569
NPI assigned
May 1, 2025
Last updated
Sep 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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 70046196 WA Primary

Addresses

Primary practice location

200 Nat Washington Way
Ephrata, WA 98823-1982

Mailing address

443 Patrick Rd
Ephrata, WA 98823-1542
Phone (509) 289-8108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20251022004038 WA Practitioner - Nurse Practitioner 1557859451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Nat Washington Way
Ephrata, WA 98823-1982

220 Nat Washington Way
Ephrata, WA 98823-1982
Phone (509) 754-3330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70046196WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Co Public Hospital District 3 CurrentSince Oct 13, 2025 Accepting new patients
Grant County Public Hospital District No. 3 CurrentSince Oct 13, 2025 Accepting new patients

Locations

220 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1881483543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 PATRICK RD",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231542",
            "telephone_number": "509-289-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NAT WASHINGTON WAY",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231982",
            "telephone_number": "509-754-4631",
            "fax_number": "509-754-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "70046196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, WA

Sources for this page

Verify at the official NPI Registry.