DR. JEREMY PAUL CROSBY (PSY.D.) – Clinical Psychologist, NPI 1003859042

DR. JEREMY PAUL CROSBY (PSY.D.) is a healthcare provider. based in Wichita, Kansas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 1209 (KS). The NPI Number for DR. JEREMY PAUL CROSBY (PSY.D.) is 1003859042

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY PAUL CROSBY (PSY.D.)
NPI
1003859042
Phone
(316) 685-2221
Address
5500 E KELLOGG DR
Enumeration Date
14 June 2006
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3163589104
Graduation Year
2001 (25 years ago)
PAC ID
0446482475
Professional Enrollment ID
I20140407000579
Address ID
KS672084513WI650XXPKWY401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

282 CLINICAL PSYCHOLOGIST in KS

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Provider Addresses for DR. JEREMY PAUL CROSBY (PSY.D.)

  • 5500, East Kellogg Drive, Wichita, Sedgwick County, Kansas, 67218, United States

    WICHITA, KS 672181607

    Phone: (316) 685-2221

    Fax: (316) 634-3091

    Type: Location

  • 650 N CARRIAGE PKWY STE 125

    WICHITA, KS 672084513

    Phone: (316) 358-9104

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-04-07

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
I20140407000579IClinical PsychologistKSTBD

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
90837Psychotherapy, 1 hour45319$0
View full utilization report →

Insurance plans in this area (ZIP 67218)

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Reviews

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Frequently asked questions

How do payers reference DR. JEREMY PAUL CROSBY (PSY.D.)?
For DR. JEREMY PAUL CROSBY (PSY.D.), use NPI 1003859042 as the unique 10-digit identifier.
Active or inactive — what applies to DR. JEREMY PAUL CROSBY (PSY.D.)?
You should see DR. JEREMY PAUL CROSBY (PSY.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. JEREMY PAUL CROSBY (PSY.D.)?
DR. JEREMY PAUL CROSBY (PSY.D.)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. JEREMY PAUL CROSBY (PSY.D.) located near Wichita?
DR. JEREMY PAUL CROSBY (PSY.D.) currently maps to Wichita, Kansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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