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AMY ROSE CRUM APNP
NPI 1295579951
Nurse Practitioner - Family in Kenosha, WI

Active since June 19, 2024PECOS Enrolled
4536 22ND AVE, KENOSHA, WI 53140(262) 771-0070(262) 885-6340 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Jun 19, 2024 (2 updates tracked since 2024).

About Amy Rose Crum Apnp NPPES

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

AMY ROSE CRUM APNP (NPI 1295579951) is an individual family provider in Kenosha, Wisconsin, licensed in Wisconsin (15474-33) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295579951
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY ROSE CRUMCredential: APNP
Location Address4536 22ND AVEKenosha, WI 53140-5917
Mailing Address4006 Washington RdKenosha, WI 53144-4819 · (262) 656-0044
Phone(262) 771-0070
Fax(262) 885-6340
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 19, 2024
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1295579951 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 WI · 15474-33
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 15474-33 (WI)
4536 22ND AVE, Kenosha, WI 53140
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14006 Washington RdKenosha, WI 53144-4819 · Phone (262) 656-0044 · Fax (262) 885-6340
Location 26226 14th AveKenosha, WI 53143-4413 · Phone (262) 656-0044 · Fax (262) 885-6340
Location 3903 S 2nd StSilver Lake, WI 53170-1747 · Phone (262) 656-0044 · Fax (262) 885-6340

Other Identifiers 1

Medicaid100285100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Rose Crum Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103358023
PECOS Enrollment IDI20241017000213
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

2

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

Kenosha Community Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
4536 22ND AVE
Kenosha, WI 53140
  • Reassigned Medicare billing, Wisconsin enrollment
  • 24 clinicians in this Medicare group
NPI 1265435960 (262) 656-0044
Yusuf Salah LLC
63 mi
Family
7300 W COLLEGE DR STE 102
Palos Heights, IL 60463
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group
NPI 1982254850 (708) 840-3733

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 53140 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

DR. CESAR D GONZALEZ DDS
Dentist (Pediatric Dentistry)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DIANE E KOSAR
Dental Hygienist
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DR. HAZEL E MOORE DDS
Dentist (General Practice)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
DR. MICHAEL MATTHEW MIHAJLOVIC PSYD
Psychologist (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
MANUEL A. RIVERA M.D.
Internal Medicine
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
FAYA KACOS-SHIU LCSW
Social Worker (Clinical)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
CASSANDRA GILLEN LPC
Counselor (Professional)
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044
KENOSHA COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4536 22ND AVE
KENOSHA, WI 53140
Kenosha County (262) 656-0044

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 Amy Crum's NPI number?

The NPI number for Amy Crum is 1295579951. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Amy Crum located?

Amy Crum practices at 4536 22nd Ave, Kenosha, WI 53140. The listed phone number is (262) 771-0070.

What is Amy Crum's specialty?

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

Is Amy Crum enrolled in Medicare?

Yes. Amy Crum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Crum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Crum reassigns Medicare benefits to 2 organizations: Kenosha Community Health Center, Inc. (Kenosha, WI) and Yusuf Salah LLC (Palos Heights, IL). 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 Amy Crum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Crum accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Amy 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.

When was this NPI record last updated?

The NPPES record for Amy Crum was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.