Individual provider Active NPI

Dustin James Craney, DO

  • Psychiatry Physician
  • Vincennes, IN
National Provider Identifier
1902425804
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
02006553A Issued in IN
Practice address
520 S 7TH St
Vincennes, IN 47591-1038
Phone
(812) 882-5220
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 02006553A IN Primary

Addresses

Primary practice location

520 S 7TH St
Vincennes, IN 47591-1038

Mailing address

PO Box 556
Vincennes, IN 47591-0556
Phone (812) 494-9503

Other practice location 1

1901 Willow St
Vincennes, IN 47591-4277
Phone (812) 494-9514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715001120 IN Practitioner - Psychiatry 1052733300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lincoln Memorial University Medical Department, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan HospitalGroup PAC ID 9436061918, 11 clinicians

Practice addresses (Care Compare)

121 Buntin St
Vincennes, IN 47591-1320
Phone (812) 885-2718

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Family Health Center, Inc CurrentSince Aug 1, 2024 Accepting new patients
Good Samaritan Family Health Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Good Samaritan Hospital CurrentSince Jul 1, 2024 Accepting new patients
Good Samaritan Family Health Center, Inc Current Accepting new patients
Good Samaritan Hospital Psychiatry CurrentSince Jul 1, 2024 Accepting new patients

Locations

611 E Main St
Ste 110
Petersburg, IN 47567
Phone (812) 354-8426

1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500

515 Bayou St
Vincennes, IN 47591
Phone (812) 886-0907

1027 Washington Ave
#B
Vincennes, IN 47591
Phone (812) 494-7500

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

1901 Willow St
Vincennes, IN 47591
Phone (812) 885-2720

121 Buntin St
Ste 1
Vincennes, IN 47591
Phone (812) 885-2718

121 Buntin St
Vincennes, IN 47591
Phone (812) 885-2700

300 N 1st St
Vincennes, IN 47591
Phone (812) 494-9510

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

2007 State St
Washington, IN 47501
Phone (812) 254-1558

Interoperability endpoints

  • Direct secure messaging: dcraney218678@direct.deaconess.com

Organizations & group practices 5

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1902425804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475910556",
            "telephone_number": "812-494-9503",
            "fax_number": "812-494-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038",
            "telephone_number": "812-882-5220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Willow St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475914277",
            "country_code": "US",
            "telephone_number": "812-494-9514",
            "fax_number": "812-494-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANEY",
        "first_name": "DUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "02006553A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.