WALTER B. CROOK NURSING FACILITY
NPI 1467585091
Skilled Nursing Facility in Ruleville, MS

Active since March 13, 2007CLIA 25D2192316 · Waiver
840 N OAK AVE, RULEVILLE, MS 38771(662) 756-2711(662) 756-4114 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Walter B. Crook Nursing Facility NPPES

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

WALTER B. CROOK NURSING FACILITY (NPI 1467585091) is a healthcare organization registered as a skilled nursing facility in Ruleville, Mississippi and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 8, 2028 and lists Jose Daniel Ceja, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467585091
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTH SUNFLOWER MEDICAL CENTER
Location Address840 N OAK AVERuleville, MS 38771-3227
Mailing Address840 N Oak AveRuleville, MS 38771-3227 · (662) 756-2711 · Fax (662) 756-4114
Fax(662) 756-4114
Organization SubpartYes
Authorized OfficialJose Daniel CejaCeo · (662) 756-2711
Enumeration DateMarch 13, 2007
Last NPPES UpdateJune 8, 2020
NPPES CertifiedJune 8, 2020
✔ NPI 1467585091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in MS · 647
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
840 N OAK AVE, Ruleville, MS 38771

Other Names 1

Doing Business AsWalter B. Crook Nursing Facility

Other Identifiers 3

OtherC00159MS · Radiology Pro Fees
OtherC00727MS · Physician Pro Fees
Medicaid00023150MS

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walter B. Crook Nursing Facility is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

109

Medicare enrollment records show 109 clinicians reassign Medicare billing to Walter B. Crook Nursing Facility, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner53
Diagnostic Radiology11
Family Practice8
Orthopedic Surgery7
Cardiovascular Disease (Cardiology)5
Certified Registered Nurse Anesthetist (CRNA)4
General Surgery3
Internal Medicine3
11 other specialties15

Nearest to this location (20)

See all 109
Nurse Practitioner
NPI 1891197117
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4024
✔ PECOSSame address
Nurse Practitioner
NPI 1225242100
840 N OAK AVE
Ruleville, MS 38771
(662) 756-2711
✔ PECOSSame address
Nurse Practitioner
NPI 1902032964
840 N OAK AVE
Ruleville, MS 38771
(662) 756-1650
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700682739
840 N OAK AVE
Ruleville, MS 38771
(662) 756-1786
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1215087515
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4024
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386203354
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4020
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093680027
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4024
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568907376
840 N OAK AVE
Ruleville, MS 38771
(662) 756-1641
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629627542
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4024
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477941870
840 N OAK AVE
Ruleville, MS 38771
(662) 756-2711
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184275133
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4024
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487271201
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4024
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780302935
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4024
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699717249
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4024
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003515578
840 N OAK AVE
Ruleville, MS 38771
(662) 756-1788
✔ PECOSSame address
Nurse Practitioner
NPI 1326682998
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4024
✔ PECOSSame address
Nurse Practitioner
NPI 1932570074
840 N OAK AVE
Ruleville, MS 38771
(662) 756-4024
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649442484
840A N. OAK AVE.
Ruleville, MS 38771
(662) 756-4024
✔ PECOSSame address
Clinical Social Worker
NPI 1831403641
840 N OAK AVE
Ruleville, MS 38771
(662) 756-2711
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1265545875
601 N OAK AVE
Ruleville, MS 38771
(662) 756-2747
✔ PECOS✔ Accepts Medicare0.3 mi
See all 109 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2192316

Walter B Crook Nursing Facility · Ruleville, MS
Active · expires Sep 8, 2028
CLIA Number25D2192316
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 9, 2026
Certificate Expiration DateSeptember 8, 2028
Laboratory DirectorMary A. Rose
Laboratory Phone(662) 756-1605
Laboratory LocationWalter B Crook Nursing Facility840 N Oak Ave, Ruleville, MS 38771
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 North Sunflower Medical Center's NPI number?

The NPI number for North Sunflower Medical Center is 1467585091. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Walter B. Crook Nursing Facility.

Where is North Sunflower Medical Center located?

North Sunflower Medical Center is located at 840 N Oak Ave, Ruleville, MS 38771. The listed phone number is (662) 756-2711.

What is North Sunflower Medical Center's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is North Sunflower Medical Center enrolled in Medicare?

Yes. North Sunflower Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Sunflower Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 109 clinicians in 19 Medicare specialties reassign their Medicare billing to North Sunflower Medical Center. A 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 the clinician's services. The largest specialties are Nurse Practitioner (53), Diagnostic Radiology (11) and Family Practice (8). Of these, 19 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Sunflower Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2192316) is associated with this NPI, valid through September 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Sunflower Medical Center was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.