KELLY JAN CROW (PA) – Physician Assistant, NPI 1003427618

KELLY JAN CROW (PA) is a healthcare provider. based in Mobile, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA.1889 (AL). The NPI Number for KELLY JAN CROW (PA) is 1003427618

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JAN CROW (PA)
NPI
1003427618
Phone
(256) 426-4914
Address
209 PORTIER CT E APT B
Enumeration Date
17 August 2020
Last Update Date
1 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
8921486200
Group Practice PAC ID
6901132448
Professional Enrollment ID
I20220526002265
Address ID
AL358013738HU401XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

Provider Addresses for KELLY JAN CROW (PA)

  • 209 PORTIER CT E APT B

    MOBILE, AL 366072259

    Phone: (256) 426-4914

    Type: Mailing

  • PO BOX 2705

    HUNTSVILLE, AL 358042705

    Phone: (256) 801-6048

    Fax: (256) 801-6218

    Type: Mailing

  • 401 LOWELL DR SE STE 1

    HUNTSVILLE, AL 358013738

    Phone: (256) 265-4462

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $313.

Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Astellas Pharma US Inc ($145).

Total Amount

$313

General + Research + Ownership

Payments

13

Total payment records

General Amount

$313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220526002265IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3131$0
View full utilization report →

Insurance plans in this area (ZIP 36607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901132448View full group profile
NameSpecialtyState
Nurse PractitionerAL
Pulmonary DiseaseAL
E N D O C R I N O L O G YNY
Critical Care (Intensivists), Pulmonary DiseaseOH
Nurse PractitionerAL
General SurgeryAL
Pulmonary Disease, Critical Care (Intensivists)AL
Nurse PractitionerWI
P S Y C H I A T R YAL
General SurgeryAL

Reviews

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Frequently asked questions

What NPI should I save for KELLY JAN CROW (PA)?
Save NPI 1003427618 if you need a stable reference for KELLY JAN CROW (PA).
Does this profile mean KELLY JAN CROW (PA) is currently active?
Yes — KELLY JAN CROW (PA) appears active in the national provider directory.
What field does KELLY JAN CROW (PA) work in?
You can think of KELLY JAN CROW (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KELLY JAN CROW (PA)'s primary listing?
We display Mobile, Alabama because that is what the record indicates for KELLY JAN CROW (PA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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