Individual provider Active NPI

Gwendolyn Emma Duso Crenshaw, APN, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1972654374
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7802 Issued in TN
Practice address
6473 Kingston Pike
Knoxville, TN 75320
Phone
(865) 588-8831
Fax
(865) 588-8841
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 7802 TN Primary

Addresses

Primary practice location

6473 Kingston Pike
Knoxville, TN 75320

Mailing address

3030 NW Expressway Ste 1000
Oklahoma City, OK 73112-5468
Phone (248) 781-8593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20071207000867 TN Practitioner - Nurse Practitioner 5496844888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1974

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7802TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center CurrentSince Nov 1, 2007 Accepting new patients
Statcare Outpatient, LLC CurrentSince Jan 1, 2018 Accepting new patients
Parkwest Medical Center CurrentSince Nov 1, 2007 Accepting new patients
Covenant Medical Group, Inc CurrentSince Sep 26, 2016 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Sep 26, 2016 Accepting new patients

Locations

3030 NW Expressway
Ste 1000
Oklahoma City, OK 73112

8045 Roane Medical Center Dr
Ste 240
Harriman, TN 37748
Phone (865) 316-2876

6473 Kingston Pike
Ste 6473
Knoxville, TN 37919
Phone (865) 269-6915

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

Dept 888179
Knoxville, TN 37995

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

501 20th St
Ste 303
Knoxville, TN 37916
Phone (865) 331-1375

6473 Kingston Pike
Knoxville, TN 37919
Phone (865) 909-0090

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

944 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 835-3810

988 Oak Ridge Tpke
Ste L20
Oak Ridge, TN 37830
Phone (865) 444-4321

744 Middle Creek Rd
Ste 208
Sevierville, TN 37862
Phone (865) 446-9675

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1972654374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NW EXPRESSWAY STE 1000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125468",
            "telephone_number": "248-781-8593",
            "fax_number": "801-618-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6473 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "75320",
            "telephone_number": "865-588-8831",
            "fax_number": "865-588-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "GWENDOLYN",
        "middle_name": "EMMA DUSO",
        "credential": "APN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.