Individual provider Active NPI

Micah Shawn Crouse, M.D.

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1992903306
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116018898 Issued in VA
Practice address
1940 Taylor Dr Apt 6
Winchester, VA 22601-6338
Phone
(440) 263-4190
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116018898 VA Primary
Emergency Medicine Physician 207P00000X 35 093481 OH

Addresses

Primary practice location

1940 Taylor Dr Apt 6
Winchester, VA 22601-6338

Mailing address

1940 Taylor Dr Apt 6
Winchester, VA 22601-6338
Phone (440) 263-4190

Other identifiers 1

IdentifierTypeStateIssuer
2956449MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090824000183 OH Practitioner - Emergency Medicine 2466506662 Reassigns benefits to 1 organization
I20150807014442 VA Practitioner - Emergency Medicine 2466506662 Reassigns benefits to 3 organizations
I20251223004169 ID Practitioner - Emergency Medicine 2466506662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Memorial Hospital, Inc.Group PAC ID 2365330347, 121 clinicians

Practice addresses (Care Compare)

351 Valley Health Way
Front Royal, VA 22630-6480
Phone (540) 636-0300

Hospital & facility affiliations

  • Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033
  • Valor Health Hospital, Emmett, ID, CCN 131318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35 093481OHMDEmergency Medicine Physician
0116018898VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Memorial Hospital, Inc. CurrentSince Nov 18, 2018 Accepting new patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Walter Knox Memorial Hospital CurrentSince Sep 6, 2025 Accepting new patients
Shenandoah Memorial Hospital, Inc. Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Nov 18, 2018 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Page Memorial Hospital, Inc. Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Warren Memorial Hospital, Inc. Emergency Medicine Current Accepting new patients
Walter Knox Memorial Hospital CurrentSince Oct 20, 2025 Accepting new patients
Walter Knox Memorial Hospital Family Medicine CurrentSince Sep 6, 2025 Accepting new patients
Marion General Hospital Foundation, Inc. Emergency Medicine Past Accepting new patients
Walter Knox Memorial Hospital Past Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients

Locations

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

1720 Ohiohealth Way
Ashland, OH 44805
Phone (567) 309-4000

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

220 Campus Blvd
Ste 320
Winchester, VA 22601

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
  • Direct secure messaging: mcrouse329194@valleyhealth.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1992903306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 TAYLOR DR APT 6",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016338",
            "telephone_number": "440-263-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 TAYLOR DR APT 6",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016338",
            "telephone_number": "440-263-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "MICAH",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116018898",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35 093481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2956449",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.