Amy Louise Crittenden, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Mount Airy, North Carolina. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northern Hospital Of Surry County and her current practice location is
708 S South St Ste 200, Mount Airy, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 786-6146.
Amy Louise Crittenden is licensed to practice in North Carolina (license number 5011653) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164985008.
Physician's Profile
| Full Name | Amy Louise Crittenden |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 708 S South St Ste 200, Mount Airy, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amy Louise Crittenden graduated from medical school in 2019
NPI Data:
- NPI Number: 1164985008
- Provider Enumeration Date: 04/08/2019
- Last Update Date: 05/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668715749
- Enrollment ID: I20190513000172
Medical Identifiers
Medical identifiers for Amy Louise Crittenden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164985008 | NPI | - | NPPES |
| 5011653 | Other | NC | NORTH CAROLINA BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 5011653 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5011654 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5011653 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 0024177837 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5011653 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Northern Hospital Of Surry County | 0244281749 | 45 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Louise Crittenden allows following entities to bill medicare on her behalf.
| Entity Name | Northern Hospital Of Surry County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114467404 PECOS PAC ID: 0244281749 Enrollment ID: O20170911002297 |
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| Entity Name | North Carolina Kidney Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164028940 PECOS PAC ID: 8729491097 Enrollment ID: O20210105001361 |
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| Entity Name | Monogram Health Professional Services Of North Carolina Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366162885 PECOS PAC ID: 9335517176 Enrollment ID: O20221129000129 |
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| Entity Name | Care Solutions Of Nc Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235919283 PECOS PAC ID: 5597114819 Enrollment ID: O20231212003523 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Louise Crittenden is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amy Louise Crittenden, FNP-BC Po Box 1267, Mount Airy, NC 27030-1267 Ph: (336) 719-7112 | Amy Louise Crittenden, FNP-BC 708 S South St Ste 200, Mount Airy, NC 27030-4589 Ph: (336) 786-6146 |
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