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MR. ROY EDWARD CRUMLEY-FOREST ARNP
NPI 1912095233
Nurse Practitioner in Jacksonville, FL

Active since October 11, 2006PECOS Enrolled
3129 HENDRICKS AVENUE, JACKSONVILLE, FL 32207(904) 398-8266(904) 396-4803 Get Directions Write a Review

NPPES record last updated: November 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Roy Edward Crumley-forest Arnp NPPES

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

MR. ROY EDWARD CRUMLEY-FOREST ARNP (NPI 1912095233) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (ARNP 1560042) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912095233
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. ROY EDWARD CRUMLEY-FORESTCredential: ARNP
Location Address3129 HENDRICKS AVENUEJacksonville, FL 32207-4217
Mailing Address3129 Hendricks AvenueJacksonville, FL 32207-4217 · (904) 398-8266 · Fax (904) 396-4803
Phone(904) 398-8266
Fax(904) 396-4803
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateNovember 22, 2010
✔ NPI 1912095233 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 FL · ARNP 1560042
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.
3129 HENDRICKS AVENUE, Jacksonville, FL 32207
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Other Identifiers 2

Medicare UPINS72416
Medicare PINE2029XFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Roy Edward Crumley-forest Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

MR. ANDREW WASILUK MD
Internal Medicine (Nephrology)
3129 HENDRICKS AVENUE
JACKSONVILLE, FL 32207
Duval County (904) 398-8266
LOUIS F GREGORY AND R GLENN DAVIS
Internal Medicine (Nephrology)
3129 HENDRICKS AVENUE
JACKSONVILLE, FL 32207
Duval County (904) 398-8266
DR. HEM PRAKASH CHATAUT M.D.
Internal Medicine (Nephrology)
3129 HENDRICKS AVENUE
JACKSONVILLE, FL 32207
Duval County (904) 398-8266

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 Roy Crumley-forest's NPI number?

The NPI number for Roy Crumley-forest is 1912095233. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Roy Crumley-forest located?

Roy Crumley-forest practices at 3129 Hendricks Avenue, Jacksonville, FL 32207. The listed phone number is (904) 398-8266.

What is Roy Crumley-forest's specialty?

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

Is Roy Crumley-forest enrolled in Medicare?

Yes. Roy Crumley-forest is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roy Crumley-forest was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.