CROSSROADS MEDICAL MANAGEMENT LLC
NPI 1780011874
Family Medicine in Shawnee, OK
About Crossroads Medical Management Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROSSROADS MEDICAL MANAGEMENT LLC (NPI 1780011874), doing business as Cohesive Family Medicine, is a healthcare organization registered as a family medicine in Shawnee, Oklahoma and active in the NPI registry since October 2013. The organization lists Randy Kerr, Vp Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crossroads Medical Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Crossroads Medical Management LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Crossroads Medical Management LLC's NPI number?
The NPI number for Crossroads Medical Management LLC is 1780011874. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider is doing business as Cohesive Family Medicine.
Where is Crossroads Medical Management LLC located?
Crossroads Medical Management LLC is located at 2508 N Harrison St, Shawnee, OK 74804. The listed phone number is (405) 585-2030.
What is Crossroads Medical Management LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Crossroads Medical Management LLC enrolled in Medicare?
Yes. Crossroads Medical Management LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crossroads Medical Management LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Crossroads Medical Management LLC. 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 (4) and Family Practice (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Crossroads Medical Management LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Crossroads Medical Management LLC 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 Crossroads Medical Management LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Crossroads Medical Management Llc · NPI 1780011874
Family Medicine organization in Shawnee, Oklahoma. Organization record, active in the CMS NPPES registry since October 3, 2013.
## Identity
- **NPI:** 1780011874 (Entity type: Organization)
- **Enumerated:** October 3, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Cohesive Family Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Randy Kerr, VP OF OPERATIONS
## Practice location
- **Address:** 2508 N HARRISON ST, Shawnee, OK 74804-3131
- **Phone:** (405) 585-2030 · **Fax:** (405) 585-0318
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2025
- **Other identifiers:** Medicaid 100131940B (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1780011874) · Data from the CMS NPPES public registry.