KATIE RAE CRAWFORD PA-C
NPI 1073159133
Physician Assistant - Medical in Dardanelle, AR

Active since November 25, 2019PECOS EnrolledAccepts Medicare Assignment
1176 STATE HIGHWAY 22 W STE B, DARDANELLE, AR 72834(479) 229-3004(870) 994-7488 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2020, Nov 25, 2019 (2 updates tracked since 2019).

About Katie Rae Crawford Pa-c NPPES

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

KATIE RAE CRAWFORD PA-C (NPI 1073159133) is an individual medical provider in Dardanelle, Arkansas, licensed in Arkansas (PT2019-051) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073159133
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATIE RAE CRAWFORDCredential: PA-C
Location Address1176 STATE HIGHWAY 22 W STE BDardanelle, AR 72834-3006
Mailing Address101 W Main StHardy, AR 72542-9566 · Fax (870) 856-2133
Fax(870) 994-7488
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 25, 2019
Last NPPES UpdateFebruary 3, 20202 updates tracked since enumeration
NPI 1073159133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AR · PT2019-051
1176 STATE HIGHWAY 22 W STE B, Dardanelle, AR 72834

Accepted Insurance

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

Katie Rae Crawford Pa-c 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.

PECOS PAC ID1658704200
PECOS Enrollment IDI20191212000499
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$4.16 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims6,270 services$0.40 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier46 claims46 services$72.60 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier18 claims18 services$63.26 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier15 claims15 services$3.34 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier63 claims63 services$24.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
1176 STATE HIGHWAY 22 W STE B
DARDANELLE, AR 72834
Nurse Practitioner (Adult Health)
1176 STATE HIGHWAY 22 W STE B
DARDANELLE, AR 72834
Nurse Practitioner (Family)
1176 STATE HIGHWAY 22 W STE B
DARDANELLE, AR 72834
Clinic/Center (Rural Health)
1176 STATE HIGHWAY 22 W STE B
DARDANELLE, AR 72834

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 Katie Crawford's NPI number?

The NPI number for Katie Crawford is 1073159133. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Where is Katie Crawford located?

Katie Crawford practices at 1176 State Highway 22 W Ste B, Dardanelle, AR 72834. The listed phone number is (479) 229-3004.

What is Katie Crawford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katie Crawford enrolled in Medicare?

Yes. Katie Crawford 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.

What insurance does Katie Crawford accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Katie Crawford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katie Crawford was last updated on February 3, 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.