TAMRA LYNN CROUCH (FNP) – Family Nurse Practitioner, NPI 1104301100

TAMRA LYNN CROUCH (FNP) is a healthcare provider. based in Bowling green, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2018017919 (MO). The NPI Number for TAMRA LYNN CROUCH (FNP) is 1104301100

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TAMRA LYNN CROUCH (FNP)
NPI
1104301100
Phone
(573) 324-9975
Address
13698 AIRPORT RD
Enumeration Date
26 September 2018
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6369338091
Graduation Year
2017 (9 years ago)
PAC ID
4082088190
Group Practice PAC ID
8628205598
Professional Enrollment ID
I20230313000644
Address ID
MO630284100FE1400X61XX400

Contacts

Secure Messaging
Tamra.Crouch@doc.mo.gov
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for TAMRA LYNN CROUCH (FNP)

  • Northeast Correctional Center, 13698, Airport Road, Bowling Green, Pike County, Missouri, 63334, United States

    BOWLING GREEN, MO 633342733

    Phone: (573) 324-9975

    Type: Location

  • 1400 US HIGHWAY 61

    FESTUS, MO 630284100

    Phone: (636) 933-5337

    Type: Location

  • 412, Park Street, Farmington, St. Francois County, Missouri, 63640, United States

    FARMINGTON, MO 636402656

    Phone: (573) 330-7588

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: ABIOMED ($40).

Total Amount

$40

General + Research + Ownership

Payments

1

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$40
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: 2023-03-13

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
I20230313000644INurse PractitionerMOTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2519$0
View full utilization report →

Insurance plans in this area (ZIP 63334)

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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: 8628205598View full group profile
NameSpecialtyState
Family PracticeMI
Family PracticeCA
-WI
Internal MedicineMO
Nurse PractitionerMO
Internal MedicineMI
Internal MedicineMO
Nurse PractitionerMO
Hospitalist, Internal MedicineMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I cross-check TAMRA LYNN CROUCH (FNP) using NPI 1104301100?
NPI 1104301100 belongs to TAMRA LYNN CROUCH (FNP); compare other details if you need extra assurance.
Active or inactive — what applies to TAMRA LYNN CROUCH (FNP)?
You should see TAMRA LYNN CROUCH (FNP) as active in CMS-hosted NPPES data.
What kind of doctor is TAMRA LYNN CROUCH (FNP)?
TAMRA LYNN CROUCH (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is TAMRA LYNN CROUCH (FNP) located near Bowling Green?
TAMRA LYNN CROUCH (FNP) currently maps to Bowling Green, Missouri 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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