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NANCY J CROUSE CNP
NPI 1821106345
Nurse Practitioner in Farmington, IL

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
77.95/100
CMS Quality Rating
601 E FORT ST, FARMINGTON, IL 61531(309) 647-0201(309) 649-6880 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nancy J Crouse Cnp NPPES

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

NANCY J CROUSE CNP (NPI 1821106345) is an individual nurse practitioner in Farmington, Illinois, licensed in Illinois (209004472) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1821106345
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNANCY J CROUSECredential: CNP
Location Address601 E FORT STFarmington, IL 61531-1338
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201 · Fax (309) 649-5101
Phone(309) 647-0201
Fax(309) 649-6880
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 25, 2006
Last NPPES UpdateApril 13, 2021
NPPES CertifiedApril 13, 2021
✔ NPI 1821106345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209004472
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
601 E FORT ST, Farmington, IL 61531
Open in Google Maps ↗

Other Identifiers 5

Other02922981IL · Bcbs
Medicaid209004472IL
Other0062839IL · Umwa
Other200397IL · Black Lung
OtherCG5172IL · Rr Medicare Group#

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

Nancy J Crouse Cnp 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 ID5799866844
PECOS Enrollment IDI20080115000686
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 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.
66 services64 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.
17 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61531 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

77.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.58
Promoting Interoperability95
Improvement Activities40
Cost64

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers13 claims13 services$13.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$91.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$184.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DEBRA L HAYES CFNP
Nurse Practitioner
601 E FORT ST
FARMINGTON, IL 61531
Fulton County (309) 245-2406
JASON G. CHAMBERLIN DO
Internal Medicine
601 E FORT ST
FARMINGTON, IL 61531
Fulton County (309) 245-2406
GRAHAM HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
601 E FORT ST
FARMINGTON, IL 61531
Fulton County (309) 245-2406

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 Nancy Crouse's NPI number?

The NPI number for Nancy Crouse is 1821106345. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Nancy Crouse located?

Nancy Crouse practices at 601 E Fort St, Farmington, IL 61531. The listed phone number is (309) 647-0201.

What is Nancy Crouse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nancy Crouse enrolled in Medicare?

Yes. Nancy Crouse 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.

Is Nancy Crouse affiliated with any hospitals?

According to CMS data, Nancy Crouse is affiliated with Graham Hospital Association.

When was this NPI record last updated?

The NPPES record for Nancy Crouse was last updated on April 13, 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.