CARRIE CLARK CRUMBLEY
NPI 1629701057
Nurse Practitioner - Family in Dallas, TX

Active since July 04, 2022PECOS EnrolledAccepts Medicare Assignment
86.29/100
CMS Quality Rating
3133 E LEMMON AVE, DALLAS, TX 75204(469) 449-8076 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2022, Aug 19, 2022, Jul 4, 2022 (3 updates tracked since 2022).

About Carrie Clark Crumbley NPPES

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

CARRIE CLARK CRUMBLEY (NPI 1629701057) is an individual family provider in Dallas, Texas, licensed in Texas (1068330) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Allen, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629701057
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARRIE CLARK CRUMBLEY
Location Address3133 E LEMMON AVEDallas, TX 75204-1411
Mailing Address3133 E Lemmon AveDallas, TX 75204-1411 · (469) 449-8076
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 4, 2022
Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
NPI 1629701057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1068330
3133 E LEMMON AVE, Dallas, TX 75204

Secondary Practice Location 1

Location 1720 Duchess DrAllen, TX 75013-3002 · Phone (469) 449-8076

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

Carrie Clark Crumbley 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 ID8628453974
PECOS Enrollment IDI20220922001386
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
21 services21 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 technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75204 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

86.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.36
Improvement Activities40
Cost92.14

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.

Nurse Practitioner (Family)
3133 E LEMMON AVE
DALLAS, TX 75204
Nurse Practitioner (Family)
3133 E LEMMON AVE
DALLAS, TX 75204
Nurse Practitioner (Family)
3133 E LEMMON AVE
DALLAS, TX 75204
Nurse Practitioner (Family)
3133 E LEMMON AVE
DALLAS, TX 75204
Nurse Practitioner (Family)
3133 E LEMMON AVE
DALLAS, TX 75204
Pharmacist
3133 E LEMMON AVE
DALLAS, TX 75204
Pharmacist
3133 E LEMMON AVE
DALLAS, TX 75204
Pharmacist
3133 E LEMMON AVE
DALLAS, TX 75204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629701057, enumerated as an "individual" on July 04, 2022.

The provider is located at 3133 E LEMMON AVE DALLAS, TX 75204 and the phone number is (469) 449-8076.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.