TRACY A CRUM DNP, CNP
NPI 1245792498
Nurse Practitioner - Family in Ashland, OH

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
1025 CENTER ST, ASHLAND, OH 44805(419) 289-0491 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy A Crum Dnp, Cnp NPPES

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

TRACY A CRUM DNP, CNP (NPI 1245792498) is an individual family provider in Ashland, Ohio, licensed in Ohio (APRN.CNP.024493) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245792498
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACY A CRUMCredential: DNP, CNP
Location Address1025 CENTER STAshland, OH 44805-4011
Mailing Address911 Randallwood DrOntario, OH 44906-4302 · (419) 610-5715
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 4, 2019
NPI 1245792498 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 OH · APRN.CNP.024493
1025 CENTER ST, Ashland, OH 44805

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

Tracy A Crum Dnp, Cnp 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 ID7719313576
PECOS Enrollment IDI20200214001368
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
248 services145 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
122 services118 patients
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.
18 services18 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services14 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44805 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
1025 CENTER ST
ASHLAND, OH 44805
Pharmacist
1025 CENTER ST
ASHLAND, OH 44805
Pharmacist
1025 CENTER ST
ASHLAND, OH 44805
Pharmacy
1025 CENTER ST
ASHLAND, OH 44805
Pharmacist
1025 CENTER ST
ASHLAND, OH 44805
Pharmacist
1025 CENTER ST
ASHLAND, OH 44805
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1025 CENTER ST
ASHLAND, OH 44805
Emergency Medicine
1025 CENTER ST
ASHLAND, OH 44805

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 Tracy Crum's NPI number?

The NPI number for Tracy Crum is 1245792498. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Tracy Crum located?

Tracy Crum practices at 1025 Center St, Ashland, OH 44805. The listed phone number is (419) 289-0491.

What is Tracy Crum's specialty?

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

Is Tracy Crum enrolled in Medicare?

Yes. Tracy 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.

What insurance does Tracy Crum accept?

Health plans from CareSource and MedMutual list Tracy 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 Tracy Crum affiliated with any hospitals?

According to CMS data, Tracy Crum is affiliated with Marion General Hospital and Ohiohealth Mansfield Hospital.

When was this NPI record last updated?

The NPPES record for Tracy Crum was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.