NPIMap

Individual provider Active NPI

Jennifer V Crouch, M.D.

  • Internal Medicine Physician
  • Farmington, MO
National Provider Identifier
1902246705
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2016022193 Issued in MO
Practice address
1106 Hazel LN
Farmington, MO 63640-1999
Phone
(573) 756-6751
Fax
(573) 760-8044
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkland Health Center 42 clinicians

Practice addresses (Care Compare)

1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6451

1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 358-1400

1106 Hazel LN
Farmington, MO 63640-1999
Phone (573) 756-6751

Hospital & facility affiliations

  • BJC Home Care Services Home health agency, Saint Louis, MO, CCN 267276
  • Elara Caring Home health agency, Farmington, MO, CCN 267592
  • Parkland Health Center Hospital, Farmington, MO, CCN 260163
  • Parkland Health Center - Bonne Terre Hospital, Bonne Terre, MO, CCN 260779
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Madison Medical Center Hospital, Fredericktown, MO, CCN 261302
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912000112 MO Practitioner - Internal Medicine 9032343256 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016022193MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkland Health Center CurrentSince Jan 1, 2023 Accepting new patients
Parkland Health Center CurrentSince Jan 1, 2023 Accepting new patients
Parkland Health Center Past Accepting new patients

Locations

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

1103 W Liberty St
Farmington, MO 63640
Phone (573) 760-8488

1106 Hazel Ln
Farmington, MO 63640

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: jcrouch10066@direct.carenet.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2016022193 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1106 Hazel LN
Farmington, MO 63640-1999

Mailing address

PO Box 957683
Saint Louis, MO 63195-1921
Phone (573) 756-6751

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2025.

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1902246705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957683",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631951921",
            "telephone_number": "573-756-6751",
            "fax_number": "573-760-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 HAZEL LN",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401999",
            "telephone_number": "573-756-6751",
            "fax_number": "573-760-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "JENNIFER",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2016022193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1106 Hazel Ln",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.