MR. ROBERT J III CROUCH (PA) – Physician Assistant, NPI 1477628865
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MR. ROBERT J III CROUCH (PA)
141 HILLCREST DR
CLARKSVILLE, TN 370435088
Phone: (931) 563-0738
Fax: (931) 552-0999
Type: Location
Colonel Florence A Blanchfield Army Community Hospital, 650, Joel Drive, Clarksville, Montgomery County, Tennessee, 42223, United States
BLANCHFIELD ARMY COMMUNITY HOSPITAL
FT. CAMPBELL, KY 422235349
Phone: (270) 798-8727
Fax: (270) 956-0180
Type: Location
5000 CROSSINGS CIR
STE 101
MOUNT JULIET, TN 371228591
Phone: (615) 533-5000
Fax: (615) 758-3875
Type: Mailing
PO BOX 306556
NASHVILLE, TN 372306556
Phone: (615) 329-2294
Fax: (615) 695-1494
Type: Mailing
3024, Business Park Circle, Goodlettsville, Sumner County, Tennessee, 37072, United States
GOODLETTSVILLE, TN 370723132
Phone: (615) 821-6033
Fax: (629) 208-6002
Type: Mailing
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: 2021-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20071205000608 | I | Physician Assistant | TN | TBD |
| I20210303001842 | I | Physician Assistant | MT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN |
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