Active NPI
Natalie Marie Crandall, FNP-C
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017019299
- Practice address
- 3920 Hampton Ave
Saint Louis, MO 63109-1401 - Phone
- (844) 776-7200
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017019299 | MO | Primary |
Addresses
Primary practice location
3920 Hampton Ave
Saint Louis, MO 63109-1401
Mailing address
1506 Ivy Hill Cir
Hillsboro, MO 63050-4661
Phone (314) 609-1058
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 US Hwy 61
Festus, MO 63028-4124
Phone (636) 931-3655
Hospital & facility affiliations
- Mercy Hospital Jefferson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017019299 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oncology, LLC | Current | Accepting new patients | |
| Mercy Hospital Jefferson | Past | Accepting new patients |
Locations
1350 US Highway 61
Crystal Cty, MO 63028
Phone (636) 931-3655
607 S New Ballas Rd
Ste 33
Saint Louis, MO 63141
Phone (314) 251-4400
901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500
Interoperability endpoints
- ncrandall1034388@directc.mercy.net
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Washington, MO
- NPI 1407169915
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1912424409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 IVY HILL CIR",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630504661",
"telephone_number": "314-609-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 HAMPTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091401",
"telephone_number": "844-776-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "NATALIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017019299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.