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SUSAN HELEN CROUCH MSN, ENP
NPI 1366539058
Nurse Practitioner in Baytown, TX

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
4001 GARTH RD, #105, BAYTOWN, TX 77521(281) 837-6037(281) 837-8282 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2021, Oct 15, 2019 (2 updates tracked since 2019).

About Susan Helen Crouch Msn, Enp NPPES

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

SUSAN HELEN CROUCH MSN, ENP (NPI 1366539058) is an individual nurse practitioner in Baytown, Texas, licensed in Texas (AP114134) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1366539058
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN HELEN CROUCHCredential: MSN, ENP
Location Address4001 GARTH RD, #105Baytown, TX 77521-3115
Mailing Address4001 Garth Rd, #105Baytown, TX 77521-3115 · (281) 837-6037 · Fax (281) 837-8282
Phone(281) 837-6037
Fax(281) 837-8282
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 6, 2006
Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1366539058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in TX · AP114134✔ Licensed in TX · 645583
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 · Acute CareTaxonomy 363LA2100X · License 645583 (TX)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 645583 (TX)
4001 GARTH RD, Baytown, TX 77521
Open in Google Maps ↗

Other Identifiers 5

Other8Y8731TX · Bcbstx
Medicaid174535805TX
Medicaid174535812TX
Medicaid174535813TX
Other1366539058TX · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice and more.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

Susan Helen Crouch Msn, Enp 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 ID9931137833
PECOS Enrollment IDI20050802000158
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 6

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.
30 services29 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.
29 services29 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

DR. GARY LYNN BOEHME DDS
Dentist
4001 GARTH RD, #102
BAYTOWN, TX 77521
Harris County (281) 422-4211
RICHARD LEE TRIPPIE D.D.S.
Dentist (Pediatric Dentistry)
4001 GARTH RD, SUITE 104
BAYTOWN, TX 77521
Harris County (281) 427-4736
RICHARD L. TRIPPIE, D.D.S. AND RALPH A. TRAYLOR, D.D.S., L.L.P.
Dentist (Pediatric Dentistry)
4001 GARTH RD, SUITE 104
BAYTOWN, TX 77521
Harris County (281) 427-4736

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 Susan Crouch's NPI number?

The NPI number for Susan Crouch is 1366539058. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Susan Crouch located?

Susan Crouch practices at 4001 Garth Rd #105, Baytown, TX 77521. The listed phone number is (281) 837-6037.

What is Susan Crouch's specialty?

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

Is Susan Crouch enrolled in Medicare?

Yes. Susan Crouch 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 Susan Crouch accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice, Molina Healthcare and Oscar Insurance Company and 1 other insurer list Susan Crouch 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 Susan Crouch was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.