DANIELLE CRUM
NPI 1437722717
Physician Assistant - Surgical in Louisville, KY

Active since July 23, 2021PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
4001 KRESGE WAY STE 210, LOUISVILLE, KY 40207(502) 895-1995 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2021, Jul 23, 2021 (2 updates tracked since 2021).

About Danielle Crum NPPES

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

DANIELLE CRUM (NPI 1437722717) is an individual surgical provider in Louisville, Kentucky, licensed in Kentucky (PENDING) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437722717
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDANIELLE CRUM
Location Address4001 KRESGE WAY STE 210Louisville, KY 40207-4640
Mailing Address2526 Meadow DrLouisville, KY 40218-1361
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 23, 2021
Last NPPES UpdateAugust 18, 20212 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
NPI 1437722717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in KY · PENDING
4001 KRESGE WAY STE 210, Louisville, KY 40207

Accepted 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

Danielle Crum 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 ID2062810229
PECOS Enrollment IDI20241204001921
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 5

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 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.
110 services108 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.
32 services32 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.
25 services24 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.
23 services23 patients
Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563
This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Specialist/Technologist, Other (Surgical Assistant)
4001 KRESGE WAY STE 210
LOUISVILLE, KY 40207

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 Danielle Crum's NPI number?

The NPI number for Danielle Crum is 1437722717. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Danielle Crum located?

Danielle Crum practices at 4001 Kresge Way Ste 210, Louisville, KY 40207. The listed phone number is (502) 895-1995.

What is Danielle Crum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Danielle Crum enrolled in Medicare?

Yes. Danielle Crum 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 Danielle Crum accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource and UnitedHealthcare list Danielle 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.

Is Danielle Crum affiliated with any hospitals?

According to CMS data, Danielle Crum is affiliated with Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Danielle Crum was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.