KIA CRAWFORD – Family Nurse Practitioner, NPI 1558908772

KIA CRAWFORD is a healthcare provider. based in Lake jackson, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP142880 (TX). The NPI Number for KIA CRAWFORD is 1558908772

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KIA CRAWFORD
NPI
1558908772
Phone
(979) 316-3437
Address
190 Abner Jackson Pkwy
Enumeration Date
6 December 2019
Last Update Date
6 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2815367698
Graduation Year
2019 (7 years ago)
PAC ID
4880106202
Group Practice PAC ID
4880734730
Professional Enrollment ID
I20250623001674
Address ID
TX775815772PE8325XSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KIA CRAWFORD

  • 190 Abner Jackson Pkwy

    Lake Jackson, TX 775665169

    Phone: (979) 316-3437

    Fax: (979) 529-9947

    Type: Location

  • 2404 SMITH RANCH RD STE 300

    PEARLAND, TX 775845201

    Phone: (832) 664-9966

    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: 2025-06-23

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
I20250623001674INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77566)

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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: 4880734730View full group profile
NameSpecialtyState
Nurse PractitionerTX
Geriatric Medicine, Internal MedicineTX

Reviews

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Frequently asked questions

What federal number belongs to KIA CRAWFORD?
The federal identifier for KIA CRAWFORD is NPI 1558908772.
Is KIA CRAWFORD's NPI currently valid?
The extract we use shows KIA CRAWFORD as active.
Can you summarize KIA CRAWFORD's specialty in plain language?
Clinically, the directory lists KIA CRAWFORD with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KIA CRAWFORD?
The page summarizes Lake Jackson, Texas for KIA CRAWFORD; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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