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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIM CRUM CFNP
NPI 1811082589
Nurse Practitioner - Family in Marietta, OH

Active since October 04, 2006PECOS Enrolled
400 MATTHEW ST STE 211, MARIETTA, OH 45750(740) 236-4871(740) 571-4358 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2026, Sep 16, 2022, Feb 24, 2016 (3 updates tracked since 2016).

About Kim Crum Cfnp NPPES

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

KIM CRUM CFNP (NPI 1811082589) is an individual family provider in Marietta, Ohio, licensed in Ohio (COA NP-2187) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1811082589
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIM CRUMCredential: CFNP
Location Address400 MATTHEW ST STE 211Marietta, OH 45750-1656
Mailing Address401 Matthew StMarietta, OH 45750-1635 · (740) 374-1400
Phone(740) 236-4871
Fax(740) 571-4358
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 21, 20263 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1811082589 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
Licenses✔ Licensed in OH · COA NP-2187✔ Licensed in WV · 44209
400 MATTHEW ST STE 211, Marietta, OH 45750
Open in Google Maps ↗

Secondary Practice Location 1

Location 1218 Pike StMarietta, OH 45750-3319 · Phone (740) 236-4871

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim Crum Cfnp 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 ID9931096559
PECOS Enrollment IDI20040228000559
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.

Medicare Billing Reassignment

Medicare enrollment records show Kim Crum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marietta Memorial Hospital
Same address
General Acute Care Hospital
401 MATTHEW ST
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 411 clinicians in this Medicare group
NPI 1215936927 (740) 374-1413

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

Areas of Expertise CMS Part B claims 4

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 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.
498 services290 patients
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.
62 services60 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.
24 services18 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361319
Location1106 Colegate DriveMarietta, OH 45750 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
40%47 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DEVANSHI DHARAIYA
Psychiatry & Neurology (Neurology)
400 MATTHEW ST STE 211
MARIETTA, OH 45750
Washington County (740) 568-4150
GEORGE SHOKRI
Psychiatry & Neurology (Neurology)
400 MATTHEW ST STE 211
MARIETTA, OH 45750
Washington County (740) 236-4871
DANIEL JOSEPH HOWLEY M.D.
Psychiatry & Neurology (Neurology)
400 MATTHEW ST STE 211
MARIETTA, OH 45750
Washington County (740) 236-4871

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 Kim Crum's NPI number?

The NPI number for Kim Crum is 1811082589. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Kim Crum located?

Kim Crum practices at 400 Matthew St Ste 211, Marietta, OH 45750. The listed phone number is (740) 236-4871.

What is Kim Crum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kim Crum enrolled in Medicare?

Yes. Kim 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.

Which organization bills Medicare for Kim Crum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Crum reassigns Medicare benefits to Marietta Memorial Hospital (Marietta, OH). The 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 Kim Crum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Crum accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Kim 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 Kim Crum affiliated with any hospitals?

According to CMS data, Kim Crum is affiliated with Marietta Memorial Hospital and Selby General Hospital.

When was this NPI record last updated?

The NPPES record for Kim Crum was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.