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GAIL MARIE CRUMP CFNP
NPI 1326321720
Nurse Practitioner in Dayton, OH

Active since September 21, 2011PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
30 E APPLE ST, STE 5254A, DAYTON, OH 45409(937) 208-4200(937) 208-4205 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gail Marie Crump Cfnp NPPES

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

GAIL MARIE CRUMP CFNP (NPI 1326321720) is an individual nurse practitioner in Dayton, Ohio, licensed in Ohio (COA 10012-NP) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1326321720
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGAIL MARIE CRUMPCredential: CFNP
Location Address30 E APPLE ST, STE 5254ADayton, OH 45409-2939
Mailing Address30 E Apple St, Ste 5254aDayton, OH 45409-2939 · (937) 208-4200 · Fax (937) 208-4205
Phone(937) 208-4200
Fax(937) 208-4205
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 21, 2011
Last NPPES UpdateFebruary 18, 2014
✔ NPI 1326321720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · COA 10012-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License COA. 219918-NP (OH)
30 E APPLE ST, Dayton, OH 45409
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Other Identifiers 2

Medicaid0085876OH
Medicare PINH202760OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Gail Marie Crump Cfnp 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 ID6103063912
PECOS Enrollment IDI20130701000607
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 4

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.

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.
116 services86 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services74 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
57 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
62%26 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%28 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JEFFREY R MILLARD MD
Hospitalist
30 E APPLE ST, STE 6250
DAYTON, OH 45409
Montgomery County (937) 208-8394
AHMED MOHANDES MD
Internal Medicine
30 E APPLE ST, SUITE 6250
DAYTON, OH 45409
Montgomery County (937) 208-8394
AMBER MICHELLE SERNA FNP
Nurse Practitioner (Family)
30 E APPLE ST, STE NW 3300
DAYTON, OH 45409
Montgomery County (937) 208-8394
KELLY M THOBE PA
Physician Assistant
30 E APPLE ST, SUITE 5253
DAYTON, OH 45409
Montgomery County (937) 208-2552
PREMIER HEALTH SPECIALISTS INC
Surgery
30 E APPLE ST, STE 6258
DAYTON, OH 45409
Montgomery County (937) 208-5300
CRYSTAL GILLIGAN
Nurse Practitioner (Acute Care)
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Montgomery County (937) 208-4200
DR. FADI M TAYIM PH.D.
Clinical Neuropsychologist
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Montgomery County (937) 208-4200
DEBORAH LYNNE CONLEY RN
Registered Nurse
30 E APPLE ST, SUITE 6252
DAYTON, OH 45409
Montgomery County (937) 208-6232

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 Gail Crump's NPI number?

The NPI number for Gail Crump is 1326321720. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Gail Crump located?

Gail Crump practices at 30 E Apple St Ste 5254A, Dayton, OH 45409. The listed phone number is (937) 208-4200.

What is Gail Crump's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gail Crump enrolled in Medicare?

Yes. Gail Crump 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 Gail Crump accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Gail Crump 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 Gail Crump affiliated with any hospitals?

According to CMS data, Gail Crump is affiliated with Miami Valley Hospital, Kettering Health Main Campus, Upper Valley Medical Center and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Gail Crump was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.