SHIDAWN TEVIN CRANK RN
NPI 1033729744
Nurse Practitioner - Acute Care in Gallup, NM
About Shidawn Tevin Crank Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIDAWN TEVIN CRANK RN (NPI 1033729744) is an individual acute care provider in Gallup, New Mexico, licensed in New Mexico (81064) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shidawn Tevin Crank Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gallup Indian Medical Center
Acute Care Hospitals · Gallup, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shidawn Crank's NPI number?
The NPI number for Shidawn Crank is 1033729744. It was assigned to this individual provider in the NPPES registry on August 6, 2020.
Where is Shidawn Crank located?
Shidawn Crank practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.
What is Shidawn Crank's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Shidawn Crank enrolled in Medicare?
Yes. Shidawn Crank is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Shidawn Crank affiliated with any hospitals?
According to CMS data, Shidawn Crank is affiliated with Gallup Indian Medical Center.
When was this NPI record last updated?
The NPPES record for Shidawn Crank was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shidawn Tevin Crank, RN · NPI 1033729744
Acute Care physician in Gallup, New Mexico. Individual provider, active in the CMS NPPES registry since August 6, 2020.
## Identity
- **NPI:** 1033729744 (Entity type: Individual)
- **Enumerated:** August 6, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 81064 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 E NIZHONI BLVD, Gallup, NM 87301-5748
- **Phone:** (505) 722-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033729744) · Data from the CMS NPPES public registry.