KOLEAN CRAWFORD (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1073284642

KOLEAN CRAWFORD (NURSE PRACTITIONER) is a healthcare provider. based in Glen rose, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 1055114 (TX). The NPI Number for KOLEAN CRAWFORD (NURSE PRACTITIONER) is 1073284642

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KOLEAN CRAWFORD (NURSE PRACTITIONER)
NPI
1073284642
Phone
(254) 396-5122
Address
1628 COUNTY ROAD 2003
Enumeration Date
23 September 2021
Last Update Date
3 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2548973444
Graduation Year
2021 (5 years ago)
PAC ID
3476941584
Group Practice PAC ID
2567446669
Professional Enrollment ID
I20211021003240
Address ID
TX760434450GL507XXTRLX501
Telehealth
Yes

Contacts

Secure Messaging
kolean.crawford.1@1293.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KOLEAN CRAWFORD (NURSE PRACTITIONER)

  • 1628 COUNTY ROAD 2003

    GLEN ROSE, TX 760435905

    Phone: (254) 396-5122

    Type: Mailing

  • 1308 PALUXY RD STE 303

    GRANBURY, TX 760485609

    Phone: (817) 579-3948

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 125 Open Payments records for all available years, with a total value of $2,145.

Total Amount is formed as General ($2,145) + Research ($0) + Ownership ($0) = $2,145.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($661).

Total Amount

$2,145

General + Research + Ownership

Payments

125

Total payment records

General Amount

$2,145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-10-21

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
I20211021003240INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes371286$0
99213Established patient office or other outpatient visit, 20-29 minutes6052$0
36415Insertion of needle into vein for collection of blood sample1414$0
96372Injection of drug or substance under skin or into muscle1211$0
View full utilization report →

Insurance plans in this area (ZIP 76043)

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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: 2567446669View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineTX
Nurse PractitionerTX
Family PracticeTX
-TX
Nurse PractitionerTX
U R O L O G YTX
Family PracticeTX
General SurgeryTX
Osteopathic Manipulative MedicineWV
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does KOLEAN CRAWFORD (NURSE PRACTITIONER) have a public NPI I can cite?
Public records show KOLEAN CRAWFORD (NURSE PRACTITIONER) under NPI 1073284642.
Is KOLEAN CRAWFORD (NURSE PRACTITIONER)'s NPI status active today?
Active status means KOLEAN CRAWFORD (NURSE PRACTITIONER)'s NPI record is not deactivated in the public file.
What services align with KOLEAN CRAWFORD (NURSE PRACTITIONER)'s listing?
KOLEAN CRAWFORD (NURSE PRACTITIONER)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit KOLEAN CRAWFORD (NURSE PRACTITIONER) in Glen Rose, Texas?
For routing, start with Glen Rose, Texas for KOLEAN CRAWFORD (NURSE PRACTITIONER), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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