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MARY G. CRUTCHFIELD PMHNP, FNP
NPI 1366715112
Nurse Practitioner - Psychiatric/Mental Health in Virginia Beach, VA

Active since February 09, 2012Opted out of Medicare · through Apr 1, 2028
4445 CORPORATION LN STE 110, VIRGINIA BEACH, VA 23462(757) 453-5508(757) 216-9655 Get Directions Write a Review

NPPES record last updated: November 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 30, 2025, Dec 29, 2017 (2 updates tracked since 2017).

About Mary G. Crutchfield Pmhnp, Fnp NPPES

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

MARY G. CRUTCHFIELD PMHNP, FNP (NPI 1366715112) is an individual psychiatric/mental health provider in Virginia Beach, Virginia, licensed in Virginia (0024169848) and active in the NPI registry since February 2012. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366715112
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY G. CRUTCHFIELDCredential: PMHNP, FNP
Location Address4445 CORPORATION LN STE 110Virginia Beach, VA 23462-3264
Mailing Address4445 Corporation Ln Ste 110Virginia Beach, VA 23462-3264 · (757) 453-5508 · Fax (757) 216-9655
Phone(757) 453-5508
Fax(757) 216-9655
Sole ProprietorNo
Enumeration DateFebruary 9, 2012
Last NPPES UpdateNovember 30, 20252 updates tracked since enumeration
NPPES CertifiedNovember 30, 2025
✔ NPI 1366715112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024169848
4445 CORPORATION LN STE 110, Virginia Beach, VA 23462
Open in Google Maps ↗

Other Identifiers 8

OtherPARVA · Multiplan
Medicaid1366715112VA
Medicaid7005918NC
OtherPARVA · Corvel
OtherPARVA · Usa Managed Care
Other-022VA · Champus/tricare
Other10090356NVA · Optima Health
Other1366715112VA · Virginia Premier Health Plan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary G. Crutchfield Pmhnp, Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23462 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Mary Crutchfield's NPI number?

The NPI number for Mary Crutchfield is 1366715112. It was assigned to this individual provider in the NPPES registry on February 9, 2012.

Where is Mary Crutchfield located?

Mary Crutchfield practices at 4445 Corporation Ln Ste 110, Virginia Beach, VA 23462. The listed phone number is (757) 453-5508.

What is Mary Crutchfield's specialty?

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

Is Mary Crutchfield enrolled in Medicare?

No. Mary Crutchfield has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Crutchfield was last updated on November 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.