MRS. TONYA LEE CRUM
NPI 1205719770
Nurse Practitioner - Family in Chapmanville, WV

Q: What is Tonya Crum's NPI number?

The NPI number for Tonya Crum is 1205719770. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Q: What is Tonya Crum'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 Tonya Crum was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 30, 2025PECOS EnrolledAccepts Medicare Assignment

555 MAIN STREET, CHAPMANVILLE, WV 25508(304) 688-9901(304) 688-9904 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mrs. Tonya Lee Crum NPPES

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

MRS. TONYA LEE CRUM (NPI 1205719770) is an individual family provider in Chapmanville, West Virginia, licensed in West Virginia (123976) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Logan Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205719770

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TONYA LEE CRUM

Location Address555 MAIN STREETChapmanville, WV 25508

Mailing AddressPo Box 1637Chapmanville, WV 25508-1637 · (304) 688-9901 · Fax (304) 688-9904

Phone(304) 688-9901

Fax(304) 688-9904

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 30, 2025

Last NPPES UpdateNovember 13, 2025

NPPES CertifiedNovember 13, 2025

✔ NPI 1205719770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in WV · 123976

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

555 MAIN STREET, Chapmanville, WV 25508

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Mrs. Tonya Lee Crum 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 ID7315437746

PECOS Enrollment IDI20251105001207

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 Reassignments

Medicare enrollment records show Tonya Crum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health Access Corporation

Same address

Federally Qualified Health Center (FQHC)

555 MAIN STREET
Chapmanville, WV 25508

Reassigned Medicare billing, West Virginia enrollment
17 clinicians in this Medicare group

NPI 1689543084 (304) 688-9901

Logan General Hospital LLC

Same address

Rural Health

555 MAIN STREET
Chapmanville, WV 25508

Reassigned Medicare billing, West Virginia enrollment
46 clinicians in this Medicare group

NPI 1023742053 (304) 688-9901

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number510048

Location20 Hospital DriveLogan, WV 25601 · Logan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25508 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 3

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

LOGAN GENERAL HOSPITAL LLC

Clinic/Center (Rural Health)

555 MAIN STREET
CHAPMANVILLE, WV 25508

Logan County (304) 688-9901

DEANNA RAE PAULEY PA-C

Physician Assistant (Medical)

555 MAIN STREET
CHAPMANVILLE, WV 25508

Logan County (304) 688-9901

RURAL HEALTH ACCESS CORPORATION

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

555 MAIN STREET
CHAPMANVILLE, WV 25508

Logan County (304) 688-9901

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 Tonya Crum's NPI number?

The NPI number for Tonya Crum is 1205719770. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Tonya Crum located?

Tonya Crum practices at 555 Main Street, Chapmanville, WV 25508. The listed phone number is (304) 688-9901.

What is Tonya Crum's specialty?

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

Is Tonya Crum enrolled in Medicare?

Yes. Tonya Crum 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 organizations bill Medicare for Tonya Crum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Crum reassigns Medicare benefits to 2 organizations: Rural Health Access Corporation (Chapmanville, WV) and Logan General Hospital LLC (Chapmanville, WV). Each 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 Tonya Crum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Crum accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Tonya Crum 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.

Is Tonya Crum affiliated with any hospitals?

According to CMS data, Tonya Crum is affiliated with Logan Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tonya Crum was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.