CATHERINE CROSBY APRN
NPI 1316308794
Nurse Practitioner - Psychiatric/Mental Health in Summerville, SC

Q: What is Catherine Crosby's NPI number?

The NPI number for Catherine Crosby is 1316308794. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Q: What is Catherine Crosby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Catherine Crosby was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 March 14, 2016PECOS EnrolledAccepts Medicare Assignment

1801 OLD TROLLEY RD STE 200, SUMMERVILLE, SC 29485(843) 781-0075(854) 222-9097 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 8, 2023, Mar 14, 2016 (2 updates tracked since 2016).

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About Catherine Crosby Aprn NPPES

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

CATHERINE CROSBY APRN (NPI 1316308794) is an individual psychiatric/mental health provider in Summerville, South Carolina, licensed in South Carolina (20001) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316308794

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCATHERINE CROSBYCredential: APRN

Location Address1801 OLD TROLLEY RD STE 200Summerville, SC 29485-8283

Mailing Address1801 Old Trolley Rd Ste 200Summerville, SC 29485-8283 · (843) 781-0075 · Fax (854) 222-9097

Phone(843) 781-0075

Fax(854) 222-9097

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 14, 2016

Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration

NPPES CertifiedOctober 21, 2025

✔ NPI 1316308794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in SC · 20001

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 20004 (SC)

Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 20004 (SC)

1801 OLD TROLLEY RD STE 200, Summerville, SC 29485

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Other Identifiers 1

MedicaidNP4317SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, 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

Catherine Crosby Aprn 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 ID2466797139

PECOS Enrollment IDI20181227002068

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 Catherine Crosby reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lets Figure It Out Counseling

Same address

Mental Health

1801 OLD TROLLEY RD STE 200
Summerville, SC 29485

Reassigned Medicare billing, South Carolina enrollment
2 clinicians in this Medicare group

NPI 1629648290 (843) 781-0075

Seaside Family Medicine, LLC

6.9 mi

Family Medicine

1341 COLLEGE PARK RD # A
Summerville, SC 29486

Reassigned Medicare billing, South Carolina enrollment
7 clinicians in this Medicare group

NPI 1043707557 (843) 400-0028

Sc House Calls Inc

89 mi

Family Medicine

111 DOCTOR CIR
Columbia, SC 29203

Reassigned Medicare billing, South Carolina enrollment
631 clinicians in this Medicare group

NPI 1518048859 (800) 491-0909

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

Areas of Expertise CMS Part B claims 15

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

2,396 services80 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

1,138 services165 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.

666 services126 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

328 services81 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

149 services88 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

76 services30 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

58 services16 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

23 services18 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

18 services18 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

18 services16 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

18 services18 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

17 services17 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

13 services13 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

12 services12 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29485 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier15 claims15 services$4.45 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

TASHIA STACKHOUSE-GEIGER LPC, LPCS, LMHC,

Counselor (Mental Health)

1801 OLD TROLLEY RD STE 200
SUMMERVILLE, SC 29485

Dorchester County (843) 781-0075

LETS FIGURE IT OUT COUNSELING

Counselor (Mental Health)

1801 OLD TROLLEY RD STE 200
SUMMERVILLE, SC 29485

Dorchester County (843) 781-0075

APRIL LYNN WOODARD LISW-CP

Social Worker (Clinical)

1801 OLD TROLLEY RD STE 200
SUMMERVILLE, SC 29485

Dorchester County (854) 832-3833

CHRISTINE COLLINS LPC-A

Counselor

1801 OLD TROLLEY RD STE 200
SUMMERVILLE, SC 29485

Dorchester County (843) 781-0075

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 Catherine Crosby's NPI number?

The NPI number for Catherine Crosby is 1316308794. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Catherine Crosby located?

Catherine Crosby practices at 1801 Old Trolley Rd Ste 200, Summerville, SC 29485. The listed phone number is (843) 781-0075.

What is Catherine Crosby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Catherine Crosby enrolled in Medicare?

Yes. Catherine Crosby 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 Catherine Crosby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Crosby reassigns Medicare benefits to 3 organizations: Lets Figure It Out Counseling (Summerville, SC), Seaside Family Medicine, LLC (Summerville, SC) and Sc House Calls Inc (Columbia, SC). 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 Catherine Crosby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine Crosby accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Catherine Crosby 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 Catherine Crosby was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.