Individual provider Active NPI

Whitney Ann Crider, P.A.

  • Physician Assistant
  • Muncie, IN
National Provider Identifier
1942579321
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001331A Issued in IN
Practice address
3631 N Morrison Rd
Muncie, IN 47304-5547
Phone
(765) 281-3443
Fax
(765) 281-3439
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001331A IN Primary

Addresses

Primary practice location

3631 N Morrison Rd
Muncie, IN 47304-5547

Mailing address

3631 N Morrison Rd
Muncie, IN 47304-5547
Phone (765) 281-3443

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whitney.criderpa.p39@direct.ahni.nextgenshare.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111222000149 IN Practitioner - Physician Assistant 2860668803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816
Phone (317) 462-5252

Hospital & facility affiliations

  • Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC CurrentSince Nov 1, 2014 Accepting new patients
American Health Network of Indiana LLC CurrentSince Nov 1, 2014 Accepting new patients
American Health Network of Indiana, LLC Past Accepting new patients
Emergency Physicians of Community Hospital of Anderson Past Accepting new patients
St. Vincent Anderson Regional Hospital, Inc. Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

300 E Boyd Ave
Ste 100
Greenfield, IN 46140
Phone (317) 208-3866

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

3631 N Morrison Rd
Muncie, IN 47304
Phone (765) 281-3443

3631 N Morrison Rd
Ste 200
Muncie, IN 47304
Phone (765) 281-3443

Interoperability endpoints

  • Direct secure messaging: wcrider211263@direct.optum.com
  • Direct secure messaging: whitney.criderpa.p39@direct.ahni.nextgenshare.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 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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1942579321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 N MORRISON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045547",
            "telephone_number": "765-281-3443",
            "fax_number": "765-281-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 N MORRISON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045547",
            "telephone_number": "765-281-3443",
            "fax_number": "765-281-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIDER",
        "first_name": "WHITNEY",
        "middle_name": "ANN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001331A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whitney.criderpa.p39@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "3631 N Morrison Rd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473045547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.