TARA L CRUMBLE (APRN) – Family Nurse Practitioner, NPI 1801195466
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for TARA L CRUMBLE (APRN)
28 CHICK ST
METROPOLIS, IL 629602467
Phone: (618) 524-2176
Fax: (618) 524-4131
Type: Mailing
1204 W 10TH ST
METROPOLIS, IL 629602433
Phone: (618) 524-3572
Fax: (618) 524-3496
Type: Location
200 CLINT HILL BLVD
PADUCAH, KY 420016768
Phone: (270) 442-9461
Type: Mailing
100 CLINT HILL BLVD STE 100
PADUCAH, KY 420016771
Phone: (270) 538-5596
Fax: (270) 538-5597
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 117 Open Payments records for all available years, with a total value of $2,295.
Total Amount is formed as General ($2,295) + Research ($0) + Ownership ($0) = $2,295.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: ABBVIE INC. ($518).
Total Amount
$2,295
General + Research + Ownership
Payments
117
Total payment records
General Amount
$2,295
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $518 |
| Lilly USA, LLC | $297 |
| Amgen Inc. | $273 |
| Novo Nordisk Inc | $249 |
| PFIZER INC. | $197 |
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: 2011-06-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110624000148 | I | Nurse Practitioner | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 188 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 154 | 109 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 88 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 74 | 32 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 42 | 13 | $0 |
Insurance plans in this area (ZIP 62960)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Internal Medicine | TN | |
| Nurse Practitioner | KY | |
| P S Y C H I A T R Y | OH | |
| Nurse Practitioner | OH | |
| N E U R O S U R G E R Y | VA | |
| Nurse Practitioner | KY | |
| Certified Clinical Nurse Specialist (Cns) | OH | |
| Neurology, Internal Medicine | KY | |
| N E U R O L O G Y | OH |
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