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STEVEN CROGHAN NP
NPI 1932646163
Nurse Practitioner - Family in Kingsport, TN

Active since January 25, 2017PECOS EnrolledAccepts Medicare Assignment
1797 FORT HENRY DR, KINGSPORT, TN 37664(423) 830-0516(423) 830-0517 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 15, 2022, Oct 19, 2022, Feb 3, 2017 and 1 more (4 updates tracked since 2017).

About Steven Croghan Np NPPES

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

STEVEN CROGHAN NP (NPI 1932646163) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (32154) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, is affiliated with Johnston Memorial Hospital, and maintains a secondary practice location in Norton.

NPPES Registry Identity

NPI1932646163
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSTEVEN CROGHANCredential: NP
Location Address1797 FORT HENRY DRKingsport, TN 37664-3226
Mailing Address6215 Mendota RdMendota, VA 24270-2605 · (766) 440-0712
Phone(423) 830-0516
Fax(423) 830-0517
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 25, 2017
Last NPPES UpdateDecember 15, 20224 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1932646163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · 32154✔ Licensed in VA · 0024174317
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 0024174317 (VA)
1797 FORT HENRY DR, Kingsport, TN 37664
Open in Google Maps ↗

Secondary Practice Location 1

Location 1280 Virginia Ave NE Ste 104Norton, VA 24273-1539 · Phone (276) 644-0071

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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

Steven Croghan Np 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 ID8921383506
PECOS Enrollment IDI20170322000507, I20221227001354
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 Reassignments

6

Medicare enrollment records show Steven Croghan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corporation
14 mi
Cardiovascular Disease
311 PRINCETON RD, SUITE 7
Johnson City, TN 37601
  • Reassigned Medicare billing, Virginia enrollment
  • 337 clinicians in this Medicare group
NPI 1962434068 (423) 282-3236
Hexis Health PLLC
33 mi
Psychiatric/Mental Health
468 E MAIN ST STE 317
Abingdon, VA 24210
  • Reassigned Medicare billing, Virginia enrollment
  • 6 clinicians in this Medicare group
NPI 1265215859 (804) 000-0000
Emergency Coverage, LLC
54 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Fast Pace Medical Clinic PLLC
252 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006
Upperline Healthcare, PC
325 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Tennessee enrollment
  • 537 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Campbell Clinic, PC
421 mi
Orthopaedic Surgery
1400 S GERMANTOWN RD
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • 247 clinicians in this Medicare group
NPI 1003835141 (901) 759-3100

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
35 services19 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services13 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.
20 services19 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37664 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$10.35 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
6 suppliers42 claims42 services$8.09 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
9 suppliers76 claims76 services$53.34 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers48 claims51 services$27.28 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
3 suppliers15 claims18 services$3.41 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
8 suppliers111 claims114 services$92.10 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.

KIHLEY ANNETTE BELLAMY FNP-C
Nurse Practitioner (Family)
1797 FORT HENRY DR
KINGSPORT, TN 37664
Sullivan County (423) 830-0516
FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Urgent Care)
1797 FORT HENRY DR
KINGSPORT, TN 37664
Sullivan County (423) 830-0516
SHERRY MICHELLE BROWN BOWEN FNP-BC
Nurse Practitioner (Family)
1797 FORT HENRY DR
KINGSPORT, TN 37664
Sullivan County (423) 860-0516

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 Steven Croghan's NPI number?

The NPI number for Steven Croghan is 1932646163. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Where is Steven Croghan located?

Steven Croghan practices at 1797 Fort Henry Dr, Kingsport, TN 37664. The listed phone number is (423) 830-0516.

What is Steven Croghan's specialty?

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

Is Steven Croghan enrolled in Medicare?

Yes. Steven Croghan 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 organizations bill Medicare for Steven Croghan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Croghan reassigns Medicare benefits to 6 organizations: Blue Ridge Medical Management Corporation (Johnson City, TN), Hexis Health PLLC (Abingdon, VA), Emergency Coverage, LLC (Newport, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN), Upperline Healthcare, PC (Hoover, AL) and 1 more organization, listed in the Medicare section above. Each 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 Steven Croghan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Croghan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Steven Croghan 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 Steven Croghan affiliated with any hospitals?

According to CMS data, Steven Croghan is affiliated with Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Steven Croghan was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.