MR. DONALD RUSSEL CRAWFORD IV
NPI 1063052561
Nurse Practitioner - Family in Carolina Beach, NC

Q: What is Donald Crawford's NPI number?

The NPI number for Donald Crawford is 1063052561. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Q: What is Donald Crawford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Crawford was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since January 13, 2020PECOS Enrolled

1328 LAKE PARK BLVD N STE 102, CAROLINA BEACH, NC 28428(910) 399-8666 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mr. Donald Russel Crawford Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DONALD RUSSEL CRAWFORD IV (NPI 1063052561) is an individual family provider in Carolina Beach, North Carolina, licensed in North Carolina (5012657) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063052561

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. DONALD RUSSEL CRAWFORD IV

Location Address1328 LAKE PARK BLVD N STE 102Carolina Beach, NC 28428-3906

Mailing Address1328 Lake Park Blvd N Ste 102Carolina Beach, NC 28428-3906 · (910) 399-8666

Phone(910) 399-8666

Sole ProprietorNo

Enumeration DateJanuary 13, 2020

✔ NPI 1063052561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5012657

1328 LAKE PARK BLVD N STE 102, Carolina Beach, NC 28428

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Donald Russel Crawford Iv is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Donald Crawford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pleasure Island Health

2.1 mi

Internal Medicine

1328 NORTH LAKE PARK BLVD STE 102
Carolina Beach, NC 28428

Reassigned Medicare billing, North Carolina enrollment
2 clinicians in this Medicare group

NPI 1235682022 (910) 399-8666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

55 services44 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

54 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28428 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOSHEN MEDICAL CENTER INCORPORATED

Clinic/Center (Federally Qualified Health Center (FQHC))

1328 LAKE PARK BLVD N STE 102
CAROLINA BEACH, NC 28428

New Hanover County (910) 707-0246

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 Donald Crawford's NPI number?

The NPI number for Donald Crawford is 1063052561. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Where is Donald Crawford located?

Donald Crawford practices at 1328 Lake Park Blvd N Ste 102, Carolina Beach, NC 28428. The listed phone number is (910) 399-8666.

What is Donald Crawford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Donald Crawford enrolled in Medicare?

Yes. Donald Crawford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Crawford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Crawford reassigns Medicare benefits to Pleasure Island Health (Carolina Beach, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Crawford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Crawford was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.