MAKALA CRUTCHFIELD NP - NPI 1194579938 - Nurse Practitioner in Little Rock, AR

Q: What is Makala Crutchfield's NPI number?

The NPI number for Makala Crutchfield is 1194579938. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Q: What is Makala Crutchfield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

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About Makala Crutchfield Np NPPES

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

MAKALA CRUTCHFIELD NP (NPI 1194579938) is an individual acute care provider in Little Rock, Arkansas, licensed in Arkansas (227818) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sherwood, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194579938

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMAKALA CRUTCHFIELDCredential: NP

Location Address5315 W 12TH STLittle Rock, AR 72204-1858

Mailing Address2521 Mccallum DrSherwood, AR 72120-1645 · (501) 708-5383

Phone(501) 708-5383

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 17, 2024

Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1194579938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AR · 227818

5315 W 12TH ST, Little Rock, AR 72204

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Secondary Practice Location 1

Location 12521 McCallum DrSherwood, AR 72120-1645 · Phone (501) 708-5383

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Makala Crutchfield 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 ID941641476

PECOS Enrollment IDI20240514004035

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72204 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 11

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

MS. TARA LYNNE JUESCHKE PA-C

Physician Assistant