1. Home
  2. Directory
  3. Illinois
  4. Edwardsville
  5. Nurse Practitioner
  6. NPI Profile

LANDRY CRABTREE NP
NPI 1164224606
Nurse Practitioner in Edwardsville, IL

Active since March 25, 2025PECOS EnrolledAccepts Medicare Assignment
2122 TROY RD, EDWARDSVILLE, IL 62025(618) 433-6410 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2025, Jul 2, 2025, Mar 25, 2025 (3 updates tracked since 2025).

About Landry Crabtree Np NPPES

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

LANDRY CRABTREE NP (NPI 1164224606) is an individual nurse practitioner in Edwardsville, Illinois, licensed in Illinois (209032207) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164224606
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLANDRY CRABTREECredential: NP
Location Address2122 TROY RDEdwardsville, IL 62025-2540
Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (618) 433-6410 · Fax (618) 433-6420
Phone(618) 433-6410
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 25, 2025
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1164224606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209032207
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 2024047256 (MO)
2122 TROY RD, Edwardsville, IL 62025
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Landry Crabtree Np 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 ID1153838123
PECOS Enrollment IDI20250725002188
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 Landry Crabtree reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Heights Medical Group, Sc
30 mi
Internal Medicine
670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 507 clinicians in this Medicare group
NPI 1811392210 (314) 996-7644

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62025 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 6

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

DR. FAITH MADUKA MD
Family Medicine
2122 TROY RD
EDWARDSVILLE, IL 62025
Madison County (618) 800-4500
MRS. MONICA MARIE CARLSON MOTR/L
Occupational Therapist
2122 TROY RD
EDWARDSVILLE, IL 62025
Madison County (618) 800-4620
DR. THERESA MCDANEL PHARMD
Pharmacist
2122 TROY RD
EDWARDSVILLE, IL 62025
Madison County (618) 655-0386
SCHNUCK MARKETS INC
Pharmacy (Community/Retail Pharmacy)
2122 TROY RD
EDWARDSVILLE, IL 62025
Madison County (618) 655-0386
MISS AMY STEFFANY OLVERA-RIOS OTR/L
Occupational Therapist (Pediatrics)
2122 TROY RD
EDWARDSVILLE, IL 62025
Madison County (618) 800-4500
ANGELLE N NEWELL
Occupational Therapist (Pediatrics)
2122 TROY RD
EDWARDSVILLE, IL 62025
Madison County (618) 800-4620

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 Landry Crabtree's NPI number?

The NPI number for Landry Crabtree is 1164224606. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Landry Crabtree located?

Landry Crabtree practices at 2122 Troy Rd, Edwardsville, IL 62025. The listed phone number is (618) 433-6410.

What is Landry Crabtree's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Landry Crabtree enrolled in Medicare?

Yes. Landry Crabtree 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.

Which organization bills Medicare for Landry Crabtree's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Landry Crabtree reassigns Medicare benefits to Fairview Heights Medical Group, Sc (Saint Louis, MO). 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 Landry Crabtree's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Landry Crabtree accept?

Health plans from UnitedHealthcare list Landry Crabtree 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 Landry Crabtree was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.