Crossroads Physician Corp

NPI: 1790779874

Crossroads Physician Corp

Q: What is Crossroads Physician Corp's NPI number?

Crossroads Physician Corp's NPI number is 1790779874, a unique 10-digit identifier issued by CMS.

Q: What does Crossroads Physician Corp specialize in?

Crossroads Physician Corp specializes in Nurse Practitioner, taxonomy code 363L00000X.

Q: Where does Crossroads Physician Corp practice?

Crossroads Physician Corp practices in Mount Vernon, IL 62864-6296.

Q: When was Crossroads Physician Corp's NPI issued?

Crossroads Physician Corp's NPI was issued on September 6, 2005.

Q: What is Crossroads Physician Corp's provider type?

Crossroads Physician Corp is an Organization under CMS NPI Type 2.

ActiveOrganizationNurse Practitioner

NPI issued: September 6, 2005

Quick Facts

NPI Number

1790779874

TypeOrganization

StatusActive

SpecialtyNurse Practitioner

Taxonomy363L00000X — Nurse Practitioner

Phone

(618) 244-4313

StateIL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1790779874)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (September 6, 2005)

Data source: CMS NPPES

Provider Overview

CROSSROADS PHYSICIAN CORP is a Nurse Practitioner provider based in Mount Vernon, IL who has been registered with CMS since 2005. They are affiliated with Crossroads Internal Medicine #1. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790779874

Provider TypeOrganization

StatusActive

Enumeration DateSeptember 6, 2005

Practice Location

CityMount Vernon

StateIL

ZIP Code62864-6296

Phone(618) 244-4313

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363L00000X

License StateIL

Mailing Address

CityMount Vernon

StateIL

ZIP Code62864-6296

Phone(618) 244-4313

Same as practice location

Hospital & Organization Affiliations

🏢

Crossroads Internal Medicine #1

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How to Use This NPI

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For Insurance Billing

Use NPI 1790779874 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790779874for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790779874 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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